Individual
DR. ABRAHAN LARA-PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE STE MC6098, CHICAGO, IL 60637-1448
(855) 702-8222
(773) 753-0552
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A176759
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
036.164104
IL
208D00000X
General Practice Physician
Primary
036.164104
IL
208D00000X
General Practice Physician
A176759
CA
Other
Enumeration date
04/24/2020
Last updated
10/15/2024
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