Individual
CARLOS ENRIQUE VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 850, CHICAGO, IL 60611-3124
(312) 695-6180
(312) 695-6189
Mailing address
676 N SAINT CLAIR ST STE 850, CHICAGO, IL 60611-3124
(312) 695-6180
(312) 695-6189
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
003658
NY
207RH0003X
Hematology & Oncology Physician
Primary
036155026
IL
207RH0003X
Hematology & Oncology Physician
MD-42737
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03258546
—
NY
Enumeration date
07/15/2007
Last updated
02/02/2021
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