MEDICARE: LUIS TORERO MD

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
1	2080P0214X	Pediatric Pulmonology Physician	036090076	IL
2	2080P0203X	Pediatric Critical Care Medicine Physician	036090076	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	206147	OTHER	IL	MEDICARE PTAN GROUP
4	206147017	OTHER	IL	MEDICARE PTAN INDIVIDUAL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000993173	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1952399560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS TORERO MD

Provider Business Mailing Address
First Line	:	25 N WINFIELD RD
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-1222
Country	:	US
Telephone Number	:	630-933-2157
Fax Number	:	630-933-4936

Provider Business Practice Location Address
First Line	:	25 N WINFIELD RD
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-1222
Country	:	US
Telephone Number	:	630-933-2157
Fax Number	:	630-933-4936

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	03/13/2017

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Directions to “ LUIS TORERO MD” Practice Location

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