Individual
MR. BRYAN JOSEPH OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1645 W SCHOOL ST, CHICAGO, IL 60657-2157
(773) 227-3669
Mailing address
1645 W SCHOOL ST, CHICAGO, IL 60657-2157
(773) 227-3669
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.010471
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2022
Last updated
03/11/2025
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