Provider Demographics
NPI:1083880546
Name:RAMIREZ, ESMILKRYS BEATRIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ESMILKRYS
Middle Name:BEATRIZ
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ESMILKRYS
Other - Middle Name:BEATRIZ
Other - Last Name:SALCEDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4959 W BELMONT AVE
Mailing Address - Street 2:SUITE N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4332
Mailing Address - Country:US
Mailing Address - Phone:773-622-4400
Mailing Address - Fax:773-622-4407
Practice Address - Street 1:4959 W BELMONT AVE
Practice Address - Street 2:SUITE N
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4332
Practice Address - Country:US
Practice Address - Phone:773-622-4400
Practice Address - Fax:773-622-4407
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036125776207R00000X, 2083B0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001636792OtherBCBS OF IL
IL036125776Medicaid
IL214375002Medicare PIN