IndividualActive
Charles Cicero
NPI 1821020694 · Specialist · Freeport, IL
Provider details
- NPI number
- 1821020694
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
421 W Exchange St
Freeport, IL 61032-4030
Phone: (815) 599-7300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 813
Freeport, IL 61032-0813
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.