Individual provider Active NPI

Bienvenido Tecson Lamorena, MD

  • Allergy & Immunology Physician
  • Chicago, IL
National Provider Identifier
1265502231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Practice address
5356 W Diversey Ave
Chicago, IL 60639-1513
Phone
(773) 777-9400
Fax
(773) 777-6917
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X IL Primary

Addresses

Primary practice location

5356 W Diversey Ave
Chicago, IL 60639-1513

Mailing address

9336 Natchez Ave
Morton Grove, IL 60053-1445
Phone (773) 777-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036058251ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rodrigue Tinfang MD Family Health LTD PastSince Feb 1, 2015 Accepting new patients
DRS. Lamorena LTD PastSince May 23, 2008 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265502231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9336 NATCHEZ AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531445",
            "telephone_number": "773-777-9400",
            "fax_number": "773-777-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391513",
            "telephone_number": "773-777-9400",
            "fax_number": "773-777-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMORENA",
        "first_name": "BIENVENIDO",
        "middle_name": "TECSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.