Dr. Therese Marie Lucietto-Sieradzki
Family Doctor Family Doctor - Addiction Medicine
205 Cadillac Ct Ste 7
Belvidere
, Illinois 61008-1733
Dr. Therese Marie Lucietto-Sieradzki
Family Doctor Family Doctor - Addiction Medicine
205 Cadillac Ct Ste 7
Belvidere
, Illinois 61008-1733
(815) 544-0088
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Therese Marie Lucietto-Sieradzki
- Po Box 298
- Belvidere, IL
- Zip : 61008-0298
- Fax : (815) 544-0088
- Phone : (815) 544-0087
Second Address
- Dr. Therese Marie Lucietto-Sieradzki
- 205 Cadillac Ct Ste 7
- Belvidere, IL
- Zip : 61008-1733
- Fax : (815) 544-0088
- Phone : (815) 544-0087
Reviews
FAQs
Where did Dr. Therese Marie Lucietto-Sieradzki attend graduate school?
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Is Dr. Therese Marie Lucietto-Sieradzki board certified?
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What is Dr. Therese Marie Lucietto-Sieradzki ’s gender?
Is Dr. Therese Marie Lucietto-Sieradzki a sole practitioner?
Is Dr. Therese Marie Lucietto-Sieradzki accepting new patients?
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Does Dr. Therese Marie Lucietto-Sieradzki accept insurance?
Does Dr. Therese Marie Lucietto-Sieradzki offers telemedicine?
What is Dr. Therese Marie Lucietto-Sieradzki ’s professional license number?
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Does Dr. Therese Marie Lucietto-Sieradzki have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036102862 | IL |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 036102862 | IL |
National Provider Identifier
| NPI | 1699708636 |
|---|---|
| Provider Name | Dr. Therese Marie Lucietto-Sieradzki |
| First Address | Belvidere, IL 61008-0298 |
| Second Address | Belvidere, IL 61008-1733 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2006 |
| Last Update Date | 24/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036102862 | (05) | IL |
| 07132017 | BLUE CROSS BLUE SHIELD ID (01) | IL |
| 148976 | MEDICARE-RIVERBEND ID (01) | IL |
| 201772810001 | MEDICAID RURAL HEALTH ID (01) | IL |
| H32936 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.