Provider Demographics
NPI:1285706812
Name:RAMOS, FELICITAS E (MD)
Entity type:Individual
Prefix:
First Name:FELICITAS
Middle Name:E
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7331 N LINCOLN AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1766
Mailing Address - Country:US
Mailing Address - Phone:773-860-9044
Mailing Address - Fax:
Practice Address - Street 1:3900 W MADISON ST STE 13
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60624-2354
Practice Address - Country:US
Practice Address - Phone:739-401-6487
Practice Address - Fax:773-722-1200
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036050707207Q00000X
IL036050070207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036050707Medicaid
D12798Medicare UPIN
IL214749Medicare PIN