Ricardo C. Dizon MD LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036049486 Issued in IL

Legal business name

RICARDO C. DIZON MD LTD

Practice address

1907 S Cicero Ave
Cicero, IL 60804-2546

Phone

(708) 656-3666

NPI assigned

Apr 16, 2008

Last updated

Dec 1, 2011By 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

Ricardo C DizonNPI 1639193998

Title

President

Phone

(708) 656-3666

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Ricardo C Dizon, M.D. L.T.D.

  • Family Medicine Physician
  • Cicero, IL
  • NPI 1639193998
  Authorized official Same address or phone

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1740454107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042546",
            "telephone_number": "708-656-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042546",
            "telephone_number": "708-656-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO C. DIZON MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-656-3666"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036049486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049486",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "487080",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Rasha, DDS
• Sinan A Razzak, D.M.D,B.D.S
• Reginald Woo DMD LTD.
• Donna Lynn Ressler Robinson
• Hernan Reyes, MD
• Elizabeth Virginia Rivera-Melo, DC
• Hector Rivera-Melo, D.C.
• Nathan Rivera-Melo, PT, DPT
• Alexis Rae Rivera
• Veronica G Rivera

• Family Medicine Physician in Cicero, IL
• Providers in Cicero, 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 Dec 1, 2011; 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.