Healthcare Provider Details

I. General information

NPI: 1235113812
Provider Name (Legal Business Name): LETICIA R. SETRINI-BEST M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 05/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 W WAVERLY ST
MORRIS IL
60450-1334
US

IV. Provider business mailing address

237 W WAVERLY ST
MORRIS IL
60450-1334
US

V. Phone/Fax

Practice location:
  • Phone: 815-941-0441
  • Fax: 815-941-0472
Mailing address:
  • Phone: 815-941-0441
  • Fax: 815-941-0472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036112172
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: