Individual
FERNANDO ALEKOS OCAMPO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 W 168TH ST # VC14-224, NEW YORK, NY 10032-3725
(212) 305-6719
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
036159083
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125073019
IL
Other
Enumeration date
07/25/2018
Last updated
06/16/2023
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