Individual
DR. JOSE F CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3417 W NORTH AVE, CHICAGO, IL 60647-4841
(773) 342-2223
(773) 342-2225
Mailing address
2123 N LARAMIE AVE, CHICAGO, IL 60639-3125
(773) 562-1798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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