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OTILIO MELERO MDSC
NPI 1063687804
Family Medicine in Chicago, IL

Active since April 23, 2008
5430 S KEDZIE AVE, CHICAGO, IL 60632(773) 471-2411(773) 471-9703 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Otilio Melero Mdsc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTILIO MELERO MDSC (NPI 1063687804) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since April 2008. The organization lists Otilio N Melero, President, as its authorized official.

NPPES Registry Identity

NPI1063687804
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOTILIO MELERO MDSC
Location Address5430 S KEDZIE AVEChicago, IL 60632-2620
Mailing Address5430 S Kedzie AveChicago, IL 60632-2620 · (773) 471-2411 · Fax (773) 471-9703
Phone(773) 471-2411
Fax(773) 471-9703
Organization SubpartNo
Authorized OfficialOtilio N MeleroPresident · (773) 471-2411
Enumeration DateApril 23, 2008
Last NPPES UpdateJanuary 27, 2012
✔ NPI 1063687804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036069929
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5430 S KEDZIE AVE, Chicago, IL 60632
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Other Identifiers 2

Medicare PIN212536
Other1635894IL · Bcbs Of Il

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTAL IMPRESSION, SC
Dentist
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 925-0650
SHAFEEQ H. BADER, D.D.S., S.C.
Dentist
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 925-0650
LHM PHYSICAL THERAPY, INC.
Clinic/Center (Physical Therapy)
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (630) 826-5900
SURABHI JAITHLIYA
Student in an Organized Health Care Education/Training Program
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 295-2523
KEDZIE DENTISTRY LLC
Dentist (General Practice)
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 295-2523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otilio Melero Mdsc's NPI number?

The NPI number for Otilio Melero Mdsc is 1063687804. It was assigned to this organization in the NPPES registry on April 23, 2008.

Where is Otilio Melero Mdsc located?

Otilio Melero Mdsc is located at 5430 S Kedzie Ave, Chicago, IL 60632. The listed phone number is (773) 471-2411.

What is Otilio Melero Mdsc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Otilio Melero Mdsc was last updated on January 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.