Individual
PAULINE CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, (MCGAW ENT., RM. 47), MAYWOOD, IL 60153
(708) 216-5221
(708) 216-5285
Mailing address
2160 S 1ST AVE, (MCGAW ENT., RM. 47), MAYWOOD, IL 60153
(708) 216-5221
(708) 216-5285
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36097415
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36097415
—
IL
Enumeration date
01/17/2006
Last updated
10/26/2020
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