Individual
LUIS F SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
208000000X
Pediatrics Physician
—
IL
208D00000X
General Practice Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618077
BCBS PPO
IL
01
—
L015046
TRICARE
IL
Enumeration date
07/28/2006
Last updated
10/01/2025
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