Your Family Doctor, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YOUR FAMILY DOCTOR, LLC

Practice address

205 Cadillac CT Ste 7
Belvidere, IL 61008-1733

Phone

(815) 544-0087

Fax

(815) 544-0088

NPI assigned

Aug 5, 2006

Last updated

Mar 31, 2017By 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. Therese Lucietto-Sieradzki, MDNPI 1699708636

Title

Owner

Phone

(815) 544-0087

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Therese Marie Lucietto-Sieradzki, M.D.

  • Family Medicine Physician
  • Belvidere, IL
  • NPI 1699708636
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1942219514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610080298",
            "telephone_number": "815-544-0087",
            "fax_number": "815-544-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CADILLAC CT STE 7",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081733",
            "telephone_number": "815-544-0087",
            "fax_number": "815-544-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "LUCIETTO-SIERADZKI",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-544-0087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E. Pawlak P C
• Matthew Windmoeller, DPT
• Holly Ann Woelber, D.T.
• Womens Center of Northern Illinois
• Randall Lee Wright, LAT,ATC
• Farzin Yousef, D.D.S.
• Sook Jin Yu
• Julie A Zaiser, NP
• Jennifer Zaluckyj
• Thomas James Zastrow, PA-C

• Family Medicine Physician in Belvidere, IL
• Providers in Belvidere, 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 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.