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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1114992658 NPPES
Illinois MEDICAID 036087654

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