Dr. Luciano Orta III, MD
Emergency Medicine in McHenry, IL. Individual provider (NPI-1).
NPI number1346353505
StatusActive
Last updated in NPPESMay 3, 2021
Details
- NPI
- 1346353505
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luciano Orta III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2006
- Certification date
- May 3, 2021
- Last updated
- May 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 036084476 | IL | Yes |
| 207P00000X | Emergency Medicine | 47498-20 | WI |
Practice location
4201 W Medical Center DrMcHenry, IL 60050-8409
Phone 815-759-3100 · Fax 815-363-9094
Mailing address
4201 W Medical Center DrMcHenry, IL 60050-8409
Phone 815-759-3100 · Fax 815-363-9094
Other practice locations
901 Grant St
Harvard, IL 60033-1821
Harvard, IL 60033-1821
Phone 815-943-5431 · Fax 815-943-0659
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