Otilio N Melero


Address: 5430 S Kedzie Ave, Chicago, IL 60632-2620

Otilio N Melero (NPI# 1154426021, PAC ID# 3173541810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1154426021
PAC ID by PECOS 3173541810
Professional Enrollment ID I20051110000606
Full Name Otilio N Melero
Address 5430 S Kedzie Ave
Chicago
IL 60632-2620
Gender M
Credential MD
Graduation Year 1980
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140180 PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER

Other Locations

Address Phone Organization
5430 S Kedzie Ave, Chicago, IL 60632-2620
350 S Northwest Hwy, Suite 302, Park Ridge, IL 60068-4262 8476967569 TELE MEDICINE SERVICES

Organization Information

Office Location

Street Address 5430 S KEDZIE AVE
City CHICAGO
State IL
Zip 60632-2620

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Name Specialty Organization Address
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Howard N Sankary General Surgery Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Jimena Beatriz Alvarez Soto Obstetrics/gynecology Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Joan M Roberts Certified Nurse Midwife Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Harveen K Soodan Family Practice Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Damaris Peralta Nurse Practitioner Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Edgar R Delcastillo Obstetrics/gynecology Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Candace L Nowak Osteopathic Manipulative Medicine Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
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Competitor

Search similar physicians

City CHICAGO
Zip Code 60632
Specialty FAMILY MEDICINE
City + Specialty CHICAGO + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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