Individual
LAURO AMEZCUA-PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
4055 W CHANDLER BLVD, SUITE #5, CHANDLER, AZ 85226-3700
(480) 464-4431
(480) 464-2338
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036168702
IL
2084P0800X
Psychiatry Physician
17900
AZ
2084P0800X
Psychiatry Physician
4023
WI
2084P0800X
Psychiatry Physician
C1-0026764
DE
2084P0800X
Psychiatry Physician
MD61530096
WA
2084P0800X
Psychiatry Physician
T6429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17900
MEDICAL LICENSE
AZ
01
—
T6429
TEXAS MEDICAL BOARD
TX
Enumeration date
08/29/2005
Last updated
06/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us