Chagoya, Pablo E

Chagoya, Pablo E is an sole proprietor health care provider with primary practice located at 6545 Cermak Rd , Berwyn IL 60402-2313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Chagoya, Pablo E can be contacted via phone (708) 788-0077.

Contact Information

Primary practice address
6545 Cermak Rd Berwyn IL 60402-2313
Phone: (708) 788-0077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036112461 Illinois
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 036112461 Illinois

Profile Details

NPI number 1235128075
LBN Legal business name Chagoya, Pablo E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Sep 22nd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235128075 NPPES
Illinois MEDICAID 036-112461-1

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