Organization
LUIS F. SANTIAGO, M.D., S.C.
Active
Parent organization
LUIS F. SANTIAGO, M.D.,S.C,
Other names
LUIS F. SANTIAGO, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUIS F. SANTIAGO, M.D.,S.C,
Authorized official
DR. LUIS F SANTIAGO MD (PRESIDENT)
(708) 780-7612
Entity
Organization
Contact information
Practice address
5533 W CERMAK RD, CICERO, IL 60804-2236
(708) 780-7612
(708) 780-9122
Mailing address
PO BOX 3666, OAK PARK, IL 60303-3666
(708) 780-7612
(708) 780-9122
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618077
BLUE CROSS BLUE SHIELD
IL
01
—
L015046
TRICARE
IL
Enumeration date
03/31/2008
Last updated
09/18/2025
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