Camacho, Pauline

Camacho, Pauline is an individual health care provider with primary practice located at 2160 S 1St Ave (Mcgaw Ent., Rm. 47), Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Camacho, Pauline can be contacted via phone (708) 216-5221.

Contact Information

Primary practice address
2160 S 1St Ave (Mcgaw Ent., Rm. 47) Maywood IL 60153
Phone: (708) 216-5221
Fax: (708) 216-5285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 36097415 Illinois

Profile Details

NPI number 1730168816
LBN Legal business name Camacho, Pauline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Oct 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730168816 NPPES
Illinois MEDICAID 36097415

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