Otilio Melero MDSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036069929 Issued in IL

Legal business name

OTILIO MELERO MDSC

Practice address

5430 S Kedzie Ave
Chicago, IL 60632-2620

Phone

(773) 471-2411

Fax

(773) 471-9703

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Otilio N Melero, MD

Title

President

Phone

(773) 471-2411

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1063687804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322620",
            "telephone_number": "773-471-2411",
            "fax_number": "773-471-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322620",
            "telephone_number": "773-471-2411",
            "fax_number": "773-471-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTILIO MELERO MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "MELERO",
        "authorized_official_first_name": "OTILIO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-471-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036069929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "1635894",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Omar Othman, M.D.
• Othrocare Solution LLC
• Carmelthia Otis, RPH
• Thomson Campbell Otis, DPT
• Gladys Otito, PA
• Aytekin Oto
• Otolaryngology Associates SC

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.