Vergara, Humberto

Vergara, Humberto is an individual health care provider with primary practice located at 1431 N Western Ave Suite 205, Chicago IL 60622-1797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Vergara, Humberto can be contacted via phone (773) 278-4811.

Contact Information

Primary practice address
1431 N Western Ave Suite 205 Chicago IL 60622-1797
Phone: (773) 278-4811
Fax: (773) 278-5920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 036-072013 Illinois

Profile Details

NPI number 1124004262
LBN Legal business name Vergara, Humberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Aug 31st, 2010 - about 15 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 1124004262 NPPES
Illinois MEDICAID 036072013

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