Cesar M Secoquian, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Practice address

5 Timber Ridge Dr
Fairbury, IL 61739-9500

Phone

(815) 692-3212

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972645588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TIMBER RIDGE DR",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617399500",
            "telephone_number": "815-692-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TIMBER RIDGE DR",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617399500",
            "telephone_number": "815-692-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOQUIAN",
        "first_name": "CESAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Patten, PHARMD
• Dawn Phillips, MPT
• Prairie Central Cusd No 8
• Saint James Hospital (OSF Healthcare - Medical Group - Fairbury)
• Antonio Salinas Jr., D.C.
• Ryleigh Sue Shoemaker
• South East Livingston County Ambulance Service, Inc (SELCAS Ambulance)
• Katelyn J Stites, APN, NP-C
• Tracy Neal Taylor, DMD
• Tracy N Taylor DMD., PC

• Adult Medicine Physician in Fairbury, IL
• Providers in Fairbury, IL by specialty
• Adult Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.