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NPI Code Detail

MEDICARE: RESURRECCION C LECAROZ RN

MEDICARE: RESURRECCION C LECAROZ RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1740938588
Entity Type Code : Individual
Provider Name (Legal Business Name) : RESURRECCION C LECAROZ RN
Provider Business Mailing Address
First Line : 212 AUGUSTA DR
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-2032
Country : US
Telephone Number : 224-595-3751
Fax Number :
Provider Business Practice Location Address
First Line : 212 AUGUSTA DR
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-2032
Country : US
Telephone Number : 224-595-3751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2022
Last Update Date : 03/11/2022

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