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Lorena Alejandra Monterubianesi

Internal Medicine

Allopathic & Osteopathic Physicians

1900 W Polk St, Chicago, IL 60612

PECOS Enrollment

This provider is enrolled in PECOS as LORENO MONTERUBIANESI.

Based on the most recent information from CMS, provider Lorena Alejandra Monterubianesi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1235375650
Provider Type
Individual
Full Name
Monterubianesi, Lorena Alejandra
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
1/7/2009
Last Updated
4/27/2021

Contact Information

Practice Location

1900 W Polk St, Chicago, IL 60612

(312) 864-0100

Unlisted Fax

Mailing Location

1900 W Polk St, Chicago, IL 60612-3723

(773) 954-3334

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 036122757 Illinois

Lorena Alejandra Monterubianesi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rafiq, Muhammad

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