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Organization
ROGELIO O CAVE MD SC
Active
Organization
ROGELIO O CAVE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSITA DOYLE (BILLING CONSULTANT)
(773) 846-9521
Entity
Organization
Contact information
Practice address
67 W 111TH ST, 2ND FLOOR, CHICAGO, IL 60628-4247
(773) 995-3454
Mailing address
9526 S KILBOURN AVE, OAK LAWN, IL 60453-3208
(708) 422-3716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036050538
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050538-1
—
IL
01
—
111910550
RAILROAD MEDICARE
IL
01
—
21624903
BLUECROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
06/04/2008
Last updated
06/04/2008
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