Cicero Medical Clinica San Lazaro LLC
NPI 1295822716 · Family Medicine Physician · Cicero, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cicero Medical Clinica San Lazaro LLC is a Family Medicine Physician organization in Cicero, IL (NPI 1295822716).
Provider details
- NPI number
- 1295822716
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerard Licea, Registered Agent(708) 656-5485
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2009-07-16
Frequently asked questions
- What is Cicero Medical Clinica San Lazaro LLC's NPI number?
- Cicero Medical Clinica San Lazaro LLC's National Provider Identifier (NPI) is 1295822716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cicero Medical Clinica San Lazaro LLC?
- Cicero Medical Clinica San Lazaro LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cicero Medical Clinica San Lazaro LLC located?
- Cicero Medical Clinica San Lazaro LLC's practice location on file with NPPES is 5712 W 35th St, Cicero, IL 60804-4222.
- What is Cicero Medical Clinica San Lazaro LLC's phone number?
- The practice phone number listed in the NPPES registry for Cicero Medical Clinica San Lazaro LLC is (708) 656-5485.
- Does Cicero Medical Clinica San Lazaro LLC accept Medicare?
- Cicero Medical Clinica San Lazaro LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cicero Medical Clinica San Lazaro LLC?
- The authorized official listed on Cicero Medical Clinica San Lazaro LLC's NPPES record is Gerard Licea, Registered Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cicero Medical Clinica San Lazaro LLC's NPI active?
- Yes — Cicero Medical Clinica San Lazaro LLC's NPI (1295822716) is active in the NPPES registry as of the last update on 2009-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.