Cicero, Gerard Joseph

Cicero, Gerard Joseph is an individual health care provider with primary practice located at 5700 W Fullerton Ave , Chicago IL 60639-2307. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Cicero, Gerard Joseph can be contacted via phone (773) 237-8660.

Contact Information

Primary practice address
5700 W Fullerton Ave Chicago IL 60639-2307
Phone: (773) 237-8660
Fax: (773) 237-3159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X003537-1 New York
Chiropractic Providers / Orthopedic 111NX0800X 038004975 Illinois

Profile Details

NPI number 1528134970
LBN Legal business name Cicero, Gerard Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jan 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528134970 NPPES
Illinois Other 0593824 AENTA
Illinois Other 350052261 AENTA
Illinois Other 1618615 AENTA
Illinois Other 619433 AENTA

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