Provider Demographics
NPI:1235113812
Name:SETRINI-BEST, LETICIA R (MD)
Entity Type:Individual
Prefix:MRS
First Name:LETICIA
Middle Name:R
Last Name:SETRINI-BEST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 W WAVERLY ST
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-1334
Mailing Address - Country:US
Mailing Address - Phone:815-941-0441
Mailing Address - Fax:815-941-0472
Practice Address - Street 1:237 W WAVERLY ST
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-1334
Practice Address - Country:US
Practice Address - Phone:815-941-0441
Practice Address - Fax:815-941-0472
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036112172207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036112172Medicaid
ILF400106119Medicare PIN
ILI45492Medicare UPIN
ILF400106086Medicare PIN