Humberto Vergara in Chicago - Addiction Medicine
Humberto Vergara - NPI 1124004262
Humberto Vergara is a Addiction Medicine in Chicago, Illinois. Humberto Vergara practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Humberto Vergara is 1124004262. The last update date is 2010-08-31.
Humberto Vergara's current location address is 1431 N Western Ave, Chicago, Illinois. You can contact this provider via phone number 7732784811 and fax number 7732785920. The mailing address for Humberto Vergara is 1431 N Western Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Humberto Vergara |
|---|---|
| Address | 1431 N Western Ave, Chicago, Illinois |
| Phone Number | 7732784811 |
| Fax Number | 7732785920 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124004262 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2010-08-31 |
Provider Mailing Address Detail
| Address | 1431 N Western Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606221797 |
| Phone Number | 7732784811 |
| Fax Number | 7732785920 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 036-072013 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36072013 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Humberto Vergara by the Centers for Medicare & Medicaid Services (CMS)?
The Humberto Vergara has been assigned the NPI (National Provider Identifier) 1124004262. 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 Humberto Vergara's facilities are geographically located?
The facilities of Humberto Vergara are physically situated at the following location: 1431 N Western Ave, Chicago, IL, 606221797.
What is Humberto Vergara's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Humberto Vergara is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0401X.
When did the Humberto Vergara receive its 1124004262?
The Humberto Vergara was issued its 1124004262 on 2005-12-20, which is the date when the organization was assigned this unique identifier.
When was the information related to Humberto Vergara most recently updated or refreshed?
The details pertaining to the Humberto Vergara, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-31.
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