Roselia Herrera MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036105062 Issued in IL

Legal business name

ROSELIA HERRERA MD SC

Practice address

6039 W Cermak Rd
Cicero, IL 60804-2021

Phone

(708) 652-0056

NPI assigned

Feb 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roselia Herrera

Title

Physician

Phone

(708) 652-0056

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roselia Herrera Villasenor, MD

  • Family Medicine Physician
  • Cicero, IL
  • NPI 1124066162
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1013186840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042021",
            "telephone_number": "708-652-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042021",
            "telephone_number": "708-652-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELIA HERRERA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "ROSELIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-652-0056"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105062",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01633515",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romo Dental III PLLC
• Andrea Romo-Serna
• Fernando Romulo Jr.
• Miriam Rosales, MA
• Milagros Rosario, MSW
• Regina M Rossetto, LCSW
• Julie Rouse, RPH
• Amado Rueda, MD
• Ashley Ruiz, MSW
• Momcilo Ryan, PHARMD.

• Family Medicine Physician in Cicero, IL
• Providers in Cicero, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.