Individual
DANILO T PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15900 S CICERO AVE, OAK FOREST, IL 60452
(708) 633-3478
(708) 633-3449
Mailing address
15900 S CICERO AVE, OAK FOREST, IL 60452
(708) 633-3478
(708) 633-3449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36079862
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36079862
—
IL
01
—
L30125
PIN
IL
Enumeration date
12/05/2006
Last updated
07/08/2007
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