Individual
JUAN CARLOS CAMACHO MOJICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE # 4065, CHICAGO, IL 60637-1443
(773) 702-6418
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23850
PR
Other
Enumeration date
04/07/2021
Last updated
06/20/2025
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