Individual
HAMILCAR S. INTENGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
326 W 64TH ST STE 302, CHICAGO, IL 60621-3114
(773) 487-5224
Mailing address
201 LAKEWOOD CIR, BURR RIDGE, IL 60527-6309
(630) 887-0258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036044876
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044876
—
IL
Enumeration date
11/21/2006
Last updated
07/08/2007
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