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Individual
AMBER LYNN PACHON
Active
Individual
AMBER LYNN PACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036134569
IL
207Q00000X
Family Medicine Physician
Primary
A101464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036134569
—
IL
01
—
592050
MEDICARE PTAN (CORNERSTONE GROUP)
IL
01
—
F400180484
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
12/23/2008
Last updated
11/09/2021
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