Individual
JOMARIE ROSE OCAMPO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1029 E 130TH ST, CHICAGO, IL 60628-6908
(773) 995-6300
Mailing address
1029 E 130TH ST, CHICAGO, IL 60628-6908
(773) 995-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036137421
IL
Other
Enumeration date
04/02/2012
Last updated
12/20/2021
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