Plasencia, Victor Rafael

Plasencia, Victor Rafael is an sole proprietor health care provider with primary practice located at 5939 W Diversey Ave , Chicago IL 60639-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Plasencia, Victor Rafael can be contacted via phone (773) 637-1600.

Contact Information

Primary practice address
5939 W Diversey Ave Chicago IL 60639-1155
Fax: (773) 637-2733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036112680 Illinois

Profile Details

NPI number 1801077094
LBN Legal business name Plasencia, Victor Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2007
Last updated Mar 13th, 2024 - about 2 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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