Organization
DOC CAM MEDICAL CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC TCHAPTCHET MD (MEDICAL DIRECTOR)
(773) 731-2700
Entity
Organization
Contact information
Practice address
2315 E 93RD ST STE 337, CHICAGO, IL 60617-3948
(773) 731-2700
(773) 373-1868
Mailing address
2315 E 93RD ST, CHICAGO, IL 60617-3936
(773) 731-2700
(773) 363-2080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
364429828
IL
Other
Enumeration date
07/19/2010
Last updated
02/10/2011
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