Individual
ALLAN CASANOVA DE OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(626) 831-2439
Mailing address
5035 S EAST END AVE, CHICAGO, IL 60615-0035
(626) 831-2439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041601273
IL
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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