Luis a Osorio M.D.S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.087612 Issued in IL

Legal business name

LUIS A OSORIO M.D.S.C.

Doing business as

Family Medical Dental Center

Practice address

6721 Cermak Rd
Berwyn, IL 60402-2216

Phone

(708) 749-0277

NPI assigned

Mar 7, 2012

Last updated

Mar 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis Antonio Osorio Jr., M.D.

Title

Owner

Phone

(708) 749-0277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Medical Dental Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claudia Osorio, D.D.S.

  • General Practice Dentistry
  • Berwyn, IL
  • NPI 1699785022
  NPD (past)
• Clara Lucia Nunez Romero, DDS

  • General Practice Dentistry
  • Matthews, NC
  • NPI 1073808259
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1346514460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022216",
            "telephone_number": "708-749-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022216",
            "telephone_number": "708-749-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS A OSORIO M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-749-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.087612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087612",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Anne Long, LSW
• Jaime Javier Lopez, LCPC
• Joaquin Lopez, M.D.
• Loyola Medical Group LLC
• Simbiat Oluwapelumi Lugboso
• Sigita Lukauskaite
• Amy Hui Luo, DO
• Kerry J Lusignan, LCSW
• Luxottica of America Inc. (Lenscrafters #023)
• Funmilayo A Macaulay, M.D.

• Family Medicine Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.