Individual
JULIO CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 DEMPSTER ST DEPT OF, PARK RIDGE, IL 60068-1143
(847) 723-7548
Mailing address
4041 BORDEAUX DR DEPT OF, NORTHBROOK, IL 60062-2139
(630) 697-0080
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
36105764
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36105764
—
IL
01
—
K05715
MEDICARE
IL
Enumeration date
01/17/2006
Last updated
12/20/2021
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