Camarena, Jorge

Camarena, Jorge is an individual health care provider with primary practice located at 5341 W Cermak Rd , Cicero IL 60804-2817. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Camarena, Jorge can be contacted via phone (708) 656-6430.

Contact Information

Primary practice address
5341 W Cermak Rd Cicero IL 60804-2817
Phone: (708) 656-6430
Fax: (708) 656-6591
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1760609143
LBN Legal business name Camarena, Jorge
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Sep 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760609143 NPPES
Illinois Other 1617631 BLUE CROSS BLUE SHIELD
Illinois Other 202591 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 362246705 BLUE CROSS BLUE SHIELD

Popular Providers