Charo, Bampen

Charo, Bampen is an individual health care provider with primary practice located at 3800 W 203Rd St Ste 202, Olympia Fields IL 60461-1184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Charo, Bampen can be contacted via phone (708) 679-2660.

Contact Information

Primary practice address
3800 W 203Rd St Ste 202 Olympia Fields IL 60461-1184
Phone: (708) 679-2660
Fax: (708) 503-3861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036046854 Illinois

Profile Details

NPI number 1427036052
LBN Legal business name Charo, Bampen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Aug 8th, 2013 - about 11 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 1427036052 NPPES
Other 01616205 BLUE SHIELD
Other 05-0540914 BLUE SHIELD
Other 010025527 BLUE SHIELD
MEDICAID 036046854 BLUE SHIELD

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