Organization Active NPI

Luis F. Santiago, M.D., S.C.

  • Primary Care Clinic/Center
  • Cicero, IL
National Provider Identifier
1154593051
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LUIS F. SANTIAGO, M.D., S.C.
Practice address
5533 W Cermak Rd
Cicero, IL 60804-2236
Phone
(708) 780-7612
Fax
(708) 780-9122
NPI assigned
Mar 31, 2008
Organization subpart
Yes
Parent organization
LUIS F. SANTIAGO, M.D.,S.C,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Dr. Luis F Santiago, MDNPI 1871507236
Title
President
Phone
(708) 780-7612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X IL Primary

Addresses

Primary practice location

5533 W Cermak Rd
Cicero, IL 60804-2236

Mailing address

PO Box 3666
Oak Park, IL 60303-3666
Phone (708) 780-7612

Other identifiers 2

IdentifierTypeStateIssuer
01618077OtherILBLUE CROSS BLUE SHIELD
L015046OtherILTRICARE

Other names 1

  • LUIS F. SANTIAGO, MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090102000217 IL Part B Supplier - Clinic/Group Practice 0446312268 Receives reassigned benefits from 1 practitioner
Practice locations: Cicero, IL

National Provider Directory

National Provider Directory
Part of
Luis F Santiago MD SC

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1154593051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3666",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603033666",
            "telephone_number": "708-780-7612",
            "fax_number": "708-780-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042236",
            "telephone_number": "708-780-7612",
            "fax_number": "708-780-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS F. SANTIAGO, M.D., S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUIS F. SANTIAGO, M.D.,S.C,",
        "enumeration_date": "2008-03-31",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-780-7612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01618077",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "L015046",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUIS F. SANTIAGO, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.