Charo, Bampen
Charo, Bampen is an individual health care provider with primary practice located at 3800 W 203Rd St Ste 202, Olympia Fields IL 60461-1184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Charo, Bampen can be contacted via phone (708) 679-2660.Contact Information
Primary practice address
3800 W 203Rd St Ste 202
Olympia Fields IL 60461-1184
Phone: (708) 679-2660
Fax: (708) 503-3861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036046854 | Illinois |
Profile Details
| NPI number | 1427036052 |
|---|---|
| LBN Legal business name | Charo, Bampen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Aug 8th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427036052 | NPPES |
| Other | 01616205 | BLUE SHIELD | |
| Other | 05-0540914 | BLUE SHIELD | |
| Other | 010025527 | BLUE SHIELD | |
| MEDICAID | 036046854 | BLUE SHIELD |
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