Rosaura Licea, MD

NPI #1548299225 in Cicero, Illinois

Provider Information

NPI Number: 1548299225
Entity Type: Individual
Name: Rosaura Licea, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 3, 2006
Last Updated: Jul 16, 2009

Practice Location

Address: 5712 W 35TH ST
City: Cicero
State: Illinois
ZIP Code: 60804-4222
Phone: (708) 656-5485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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