Individual
JOSE LUIS OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 W MADISON ST APT 4601, CHICAGO, IL 60661-2449
(310) 422-0588
Mailing address
605 W MADISON ST APT 4601, CHICAGO, IL 60661-2449
(310) 422-0588
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125060153
IL
Other
Enumeration date
06/20/2011
Last updated
12/01/2021
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