DR. LUCENA CRISOSTOMO (NPI# 1063772507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063772507 |
| Entity Type | Individual |
| Full Name | DR. LUCENA CRISOSTOMO |
| Credential | M.D. |
| Practice Address |
709 Saint Josephs Dr Oak Brook IL 60523-2570 |
| Practice Telephone | 6303232950 |
| Mailing Telephone | 6303232950 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036054193 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
709 SAINT JOSEPHS DR |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-2570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1366941510 | Oak Brook Medical Group Ltd | General Practice | 2001 Midwest Rd Ste Ll34, Oak Brook, IL 60523-4303 | 2018-02-02 |
| 1356741854 | Norma Mercado Arias | General Practice | 10 Devonshire Drive, Oak Brook, IL 60523 | 2014-09-03 |
| 1134491053 | Vedavathi Agadi | General Practice | 338 Trinity Ln, Oak Brook, IL 60523-2561 | 2012-02-08 |
| 1811219017 | Mullapudi Medical LLC | General Practice | 2s607 Avenue Vendome, Oak Brook, IL 60523-1073 | 2010-02-16 |
| 1316113954 | Jackson W Chen | General Practice | 209 Indian Trail Rd, Oak Brook, IL 60523-2797 | 2008-05-04 |
| 1104040120 | Bashi Bandari, M.d., S.c. | General Practice | 812 Saint Stephens Grn, Oak Brook, IL 60523-2566 | 2007-04-12 |
| 1952941171 | Oak Brook Msk Ltd | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2020-01-15 |
| 1730640368 | Midwest Medical Services Group Ltd | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-03-27 |
| 1801247770 | Smartcarehub,llc | General Practice | 1415 W 22nd St, Oak Brook, IL 60523-2074 | 2016-06-22 |
| Find all providers in OAK BROOK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.