Redondo, Luis Jacinto

Redondo, Luis Jacinto is an individual health care provider with primary practice located at 10719 160Th St , Orland Park IL 60467-5541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Redondo, Luis Jacinto can be contacted via phone (708) 226-3300.

Contact Information

Primary practice address
10719 160Th St Orland Park IL 60467-5541
Phone: (708) 226-3300
Fax: (708) 226-4202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036075192 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-075192 Illinois

Profile Details

NPI number 1710938873
LBN Legal business name Redondo, Luis Jacinto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Dec 20th, 2021 - about 3 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 1710938873 NPPES
Illinois Other 036-075192 BLUE CROSS BLUE SHIELD PROVIDER NUMBER
Illinois Other 200034655 BLUE CROSS BLUE SHIELD PROVIDER NUMBER

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