Individual
LUIS TORERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-2157
(630) 933-4936
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-2157
(630) 933-4936
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
036090076
IL
2080P0214X
Pediatric Pulmonology Physician
Primary
036090076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000993173
BCBS
IL
05
—
036090076
—
IL
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
206147017
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
10/07/2005
Last updated
03/13/2017
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