Yvonne Patrice Lucero, MD

Primary specialty

Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X

Practice address

5TH Avenue at Roosevelt Road
BLDG 128
Hines, IL 60141

Phone

(708) 202-2241

Fax

(708) 202-7960

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083628853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 N DELAPLAINE RD",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462058",
            "telephone_number": "708-202-2241",
            "fax_number": "708-202-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH AVENUE AT ROOSEVELT ROAD",
            "address_2": "BLDG 128",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-2241",
            "fax_number": "708-202-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "YVONNE",
        "middle_name": "PATRICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lottes, LSW
• Jeffrey Lee Lovchik, PHARMD
• Solangel Lozada, LCSW
• Laura Luc-Gorby, A.P.N.
• Nancy Lucena, LCSW
• Sandra Lukic
• Phyllis Lee Lulinski, RPH
• Lorry Luscri, RD
• Tiffany Lynn Luzadder, LSW
• Jaclyn Lydiksen, LSW

• All providers in Hines, IL
• Spinal Cord Injury Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.