Active NPI
Bienvenido Tecson Lamorena, MD
- Allergy & Immunology Physician
- Chicago, IL
National Provider Identifier
1265502231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036058251 | IL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodrigue Tinfang MD Family Health LTD | Past | Accepting new patients | |
| DRS. Lamorena LTD | Past | 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.
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1306031885
-
- Clinic/Center
- Chicago, IL
- NPI 1518359991
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.