Henry Lopez Cordero, M.D., S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036048675 Issued in IL

Legal business name

HENRY LOPEZ CORDERO, M.D., S.C.

Practice address

2002 N Damen Ave
Chicago, IL 60647-4527

Phone

(773) 486-6553

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Henry Lopez Cordero, M.D.

Title

Physician

Phone

(847) 277-1740

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Cayetano Puzon, DPM

  • Primary Podiatric Medicine Podiatrist
  • Chicago, IL
  • NPI 1265651905
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1346556057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WELLINGBOROUGH CT",
            "city": "S BARRINGTON",
            "state": "IL",
            "postal_code": "600106156",
            "telephone_number": "847-277-1740",
            "fax_number": "847-277-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474527",
            "telephone_number": "773-486-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY LOPEZ CORDERO, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-277-1740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036048675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048675",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00216062921",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0873925EFFE",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Booth House
• Henry C Schuppert DDS, Ms. PC.
• Henry Danko, MD
• Henry Ford Health St. John Hospital (St John Hospital and Medical Center)
• Henry G. Conroe, M.D., S.C.
• Henry M Baraniewski, M.D. LTD (Henry M Baraniewski, M.D.)
• Henry Spunar
• Henry T Pimentel MDSC
• Henry Y Lin MD SC
• Lisa Michelle Henry-Reid, M.D.

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.