Vasconcelles, Cara E
Vasconcelles, Cara E is an individual health care provider with primary practice located at 3132 Old Jacksonville Rd Suite 200, Springfield IL 62704-7400. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Vasconcelles, Cara E can be contacted via phone (217) 862-0804.Contact Information
Primary practice address
3132 Old Jacksonville Rd Suite 200
Springfield IL 62704-7400
Phone: (217) 862-0804
Fax: (217) 862-0871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036087654 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036087654 | Illinois |
Profile Details
| NPI number | 1114992658 |
|---|---|
| LBN Legal business name | Vasconcelles, Cara E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Mar 1st, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114992658 | NPPES |
| Illinois | MEDICAID | 036087654 |
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