YVONNE PATRICE LUCERO (NPI# 1083628853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083628853 |
| Entity Type | Individual |
| Full Name | YVONNE PATRICE LUCERO |
| Credential | MD |
| Practice Address |
5th Avenue At Roosevelt Road Bldg 128 Hines IL 60141 |
| Mailing Address |
63 N Delaplaine Rd Riverside IL 60546-2058 |
| Practice Telephone | 7082022241 |
| Practice Fax Number | 7082027960 |
| Mailing Telephone | 7082022241 |
| Mailing Fax Number | 7082027960 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
5TH AVENUE AT ROOSEVELT ROAD BLDG 128 |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053494864 | Robbie Elizabeth Logan | Physical Medicine & Rehabilitation | Hines Vamc Blg 128, 5th and Roosevelt Rd, Hines, IL 60141 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947236 | Advanced Pain & Spine Management, S.c. | Physical Medicine & Rehabilitation | 121 S Wilke Rd Ste 110, Arlington Heights, IL 60005-1524 | 2018-03-24 |
| 1063601847 | Raheemunnisa Rawoof | Physical Medicine & Rehabilitation | 1610 W 63rd St, Southpoint Medical Center, Chicago, IL 60636-2211 | 2007-10-17 |
| 1023238433 | The Board of Trustees of The University of Illinois | Physical Medicine & Rehabilitation | 912 S Wood, Chicago, IL 60612-7327 | 2007-04-26 |
| 1376996231 | Sushil Singla | Physical Medicine & Rehabilitation | 355 E Erie St Ste 21-2127, Chicago, IL 60611-3167 | 2016-07-15 |
| 1558748269 | Stephanie Deleon Hendrick | Physical Medicine & Rehabilitation | 26w171 Roosevelt Rd, Wheaton, IL 60187-6002 | 2015-05-01 |
| 1699829044 | Marika Lazo Greiff | Physical Medicine & Rehabilitation | 1740 W Taylor St, Chicago, IL 60612-7232 | 2007-01-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.