DR. NORMITA MADAMBA LICUDINE MD
NPI 1831287887
Family Medicine in Chicago, IL

Q: What is Normita Licudine's NPI number?

The NPI number for Normita Licudine is 1831287887. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Normita Licudine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Normita Licudine was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 11, 2006

4758 WEST WASHINGTON BLVD, CHICAGO, IL 60644(773) 379-4348(773) 379-4034 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Normita Madamba Licudine Md NPPES

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

DR. NORMITA MADAMBA LICUDINE MD (NPI 1831287887) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036051696) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1831287887

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NORMITA MADAMBA LICUDINECredential: MD

Location Address4758 WEST WASHINGTON BLVDChicago, IL 60644

Mailing Address7049 N Kilpatrick AvenueLincolnwood, IL 60712 · (847) 677-7264 · Fax (773) 379-4034

Phone(773) 379-4348

Fax(773) 379-4034

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateApril 13, 2010

✔ NPI 1831287887 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 · 036051696

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.

4758 WEST WASHINGTON BLVD, Chicago, IL 60644

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Other Identifiers 3

Medicare UPIND12996

Medicare ID-Type Unspecified487530IL

Medicaid036051696IL

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 Normita Licudine's NPI number?

The NPI number for Normita Licudine is 1831287887. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Normita Licudine located?

Normita Licudine practices at 4758 West Washington Blvd, Chicago, IL 60644. The listed phone number is (773) 379-4348.

What is Normita Licudine'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 Normita Licudine was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.