Individual provider Active NPI

Roselia Herrera Villasenor, MD

  • Family Medicine Physician
  • Cicero, IL
National Provider Identifier
1124066162
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036105062 Issued in IL
Practice address
6039 W Cermak Rd
Cicero, IL 60804-2021
Phone
(708) 652-0056
Fax
(708) 652-9397
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036105062 IL Primary

Addresses

Primary practice location

6039 W Cermak Rd
Cicero, IL 60804-2021

Mailing address

6039 W Cermak Rd
Cicero, IL 60804-2021
Phone (708) 652-0056

Other identifiers 2

IdentifierTypeStateIssuer
036105062MedicaidIL
01633515OtherILBLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000546 IL Practitioner - Family Practice 5597679142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan College of Medicine and Surgery, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola Medical Group LLCGroup PAC ID 6305109547, 124 clinicians

Practice addresses (Care Compare)

3231 Euclid Ave
FL 5
Berwyn, IL 60402-4603
Phone (708) 783-2000

6039 W Cermak Rd
Cicero, IL 60804-2021
Phone (708) 652-0056

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roselia Herrera MD SC Family Medicine CurrentSince Sep 1, 2003 Accepting new patients
Loyola Medical Group LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

6425 Cermak Rd
Ste 101102
Berwyn, IL 60402
Phone (708) 484-0044

6425 Cermak Rd
Ste 202
Berwyn, IL 60402
Phone (708) 484-0500

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

3231 Euclid Ave
Fl 5
Berwyn, IL 60402
Phone (708) 783-2000

6039 W Cermak Rd
Cicero, IL 60804
Phone (708) 314-0307

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1124066162",
    "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",
            "fax_number": "708-652-9397"
        },
        {
            "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",
            "fax_number": "708-652-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA VILLASENOR",
        "first_name": "ROSELIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_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 SHEILD",
            "identifier": "01633515",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

Verify at the official NPI Registry.