Organization
BENJAMIN G. LUMICAO, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN G. LUMICAO M.D. (PRESIDENT)
(312) 926-9910
Entity
Organization
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 2220, CHICAGO, IL 60611-2927
(312) 926-9910
(312) 926-7400
Mailing address
676 N SAINT CLAIR ST, SUITE 2220, CHICAGO, IL 60611-2927
(312) 926-9910
(312) 926-7400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-042067
IL
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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