Kenneth B Camacho in Morton - Gastroenterology

Kenneth B Camacho - NPI 1750323424

Kenneth B Camacho is a Gastroenterology in Morton, Illinois. Kenneth B Camacho practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Kenneth B Camacho is 1750323424. The last update date is 2023-06-26.

Kenneth B Camacho's current location address is Po Box 365, Morton, Illinois. You can contact this provider via phone number 3096724980 and fax number 3096712944. The mailing address for Kenneth B Camacho is Po Box 365, Morton, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth B Camacho
Address Po Box 365, Morton, Illinois
Phone Number 3096724980
Fax Number 3096712944
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1750323424
Provider Enumeration Date 2006-06-10
Last Updated Date 2023-06-26

Provider Mailing Address Detail

Address Po Box 365
City Morton
State Illinois (IL)
Post Code 615500365
Phone Number 3096724980
Fax Number 3096712944

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 57390
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36101777 IL --
371221637 IL FEDERAL TAX ID
IL0114 IL JOHN DEERE
7215152 IL BLUE CROSS
100014760 IL RAILROAD MEDICARE
426249 IL HEALTHLINK
67597 IL HEALTH ALLIANCE
776530 IL MEDICARE GROUP NUMBER
7036279 IL AETNA HEALTH PLANS
7100877910 KY --

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FAQs about Kenneth B Camacho

What is the unique identifier code issued to Kenneth B Camacho by the Centers for Medicare & Medicaid Services (CMS)?

The Kenneth B Camacho has been assigned the NPI (National Provider Identifier) 1750323424. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Kenneth B Camacho's facilities are geographically located?

The facilities of Kenneth B Camacho are physically situated at the following location: Po Box 365, Morton, IL, 615500365.

What is Kenneth B Camacho's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth B Camacho is Gastroenterology, and the taxonomy code that classifies this field of practice is 207Rg0100X.

When did Kenneth B Camacho receive its 1750323424 assignment?

The Kenneth B Camacho was assigned its 1750323424 on 2006-06-10, which is the date when this unique identifier was issued to the organization.

As of what date were the Kenneth B Camacho's details last updated?

The information pertaining to the Kenneth B Camacho, including its address, specialty, and other details, was most recently updated on 2023-06-26.

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