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Individual

BENITO CAMACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 N KNOXVILLE AVE STE A, PEORIA, IL 61603-3005
(309) 680-7600
(309) 495-8614
Mailing address
2214 N UNIVERSITY ST, PEORIA, IL 61604-3221
(309) 680-7669
(309) 681-8443

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-047383
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036047383
IL
Enumeration date
10/18/2006
Last updated
12/30/2020
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