DR. NORMITA MADAMBA LICUDINE MD NPI 1831287887

NPI Information

DR. Normita Madamba Licudine, MD is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Normita Madamba Licudine, MD NPI is 1831287887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4758 WEST WASHINGTON BLVD
CHICAGO, IL
ZIP 60644
Phone: (773) 379-4348
Fax: (773) 379-4034

The enumeration date for this NPI number is 10/11/2006 and was last updated on 4/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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