Organization
GERARD CICERO DC FACO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY G JUNGHEIM (OFFICE MANAGER)
(773) 237-8660
Entity
Organization
Contact information
Practice address
5700 W FULLERTON AVE, CHICAGO, IL 60639-2307
(773) 237-8660
(773) 237-3159
Mailing address
5700 W FULLERTON AVE, CHICAGO, IL 60639-2307
(773) 237-8660
(773) 237-3159
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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