Dagoberto Camacho M.D.

NPI 1629201512 - Family Medicine - 207Q00000X

NPI Details
NPI 1629201512
Gender Male
Enumeration Date 08/26/2009
Last Updated 09/23/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
1044 N FRANCISCO AVE
CHICAGO IL, 60622-2743, US
Phone (773) 292-8200
Fax (773) 278-9628
Business Location
2036 N HONORE ST APT 2
CHICAGO IL, 60614-3911, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036130064
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According to our database, Dr. Dagoberto Camacho M.D. NPI is 1629201512, taxonomy code is 207Q00000X and license number is 036130064, license state is located at Illinois. Dagoberto Camacho M.D. physically located at 1044 N Francisco Ave, Chicago IL, 60622-2743. NPI Number Dagoberto Camacho M.D. has the Individual type.

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1629201512 NPI number is provided on an as is basis without warranty of any kind. 1629201512 is maintained by the National Plan & Provider Enumeration System. The contents of Dagoberto Camacho M.D. are for informational purposes only.