Organization Active NPI

Benjamin G. Lumicao, M.D., LLC

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1467728188
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036-042067 Issued in IL
Legal business name
BENJAMIN G. LUMICAO, M.D., LLC
Practice address
676 N Saint Clair St
Suite 2220
Chicago, IL 60611-2927
Phone
(312) 926-9910
Fax
(312) 926-7400
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Benjamin G. Lumicao, M.D.
Title
President
Phone
(312) 926-9910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 036-042067 IL Primary

Addresses

Primary practice location

676 N Saint Clair St
Suite 2220
Chicago, IL 60611-2927

Mailing address

676 N Saint Clair St
Suite 2220
Chicago, IL 60611-2927
Phone (312) 926-9910

National Provider Directory

National Provider Directory

Locations

676 N Saint Clair St
Ste 2220
Chicago, IL 60611
Phone (312) 926-7100

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1467728188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "SUITE 2220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-926-9910",
            "fax_number": "312-926-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "SUITE 2220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-926-9910",
            "fax_number": "312-926-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN G. LUMICAO, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "LUMICAO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-926-9910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-042067",
            "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 Mar 27, 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.