Individual
MR. JESSIE CACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3715 MUNICIPAL DR, MCHENRY, IL 60050-5483
(847) 688-1900
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
043106986
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043106986
IFDPR
IL
Enumeration date
03/07/2023
Last updated
03/07/2023
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