Individual
MR. VICTOR THOMAS CACERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 W POLK ST, 10TH FLOOR, CHICAGO, IL 60612-3723
(312) 091-1864
Mailing address
1900 W POLK ST, 10TH FLOOR, CHICAGO, IL 60612-3723
(920) 318-9552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1108842
WI
363A00000X
Physician Assistant
Primary
PA60838852
WA
Other
Enumeration date
06/06/2013
Last updated
05/15/2023
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