| Cavero Medical Group Ltd | |
|
4007 W 63rd St Chicago IL 60629-4605 | |
| (773) 767-2266 | |
| (773) 767-3933 |
| Full Name | Cavero Medical Group Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 4007 W 63rd St, Chicago, Illinois |
| Authorized Official Name and Position | Victoria Salinas (MANAGER) |
| Authorized Official Contact | 7737672266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cavero Medical Group Ltd Po Box 307 Hinsdale IL 60522-0307 Ph: (773) 767-2266 | Cavero Medical Group Ltd 4007 W 63rd St Chicago IL 60629-4605 Ph: (773) 767-2266 |
| NPI Number | 1639184419 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 02/08/2018 |
| Medicare PECOS PAC ID | 6608892948 |
|---|---|
| Medicare Enrollment ID | O20051017000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639184419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042616861 (Illinois) | Primary |
| Provider Name | Luis J Angarita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497898589 PECOS PAC ID: 2062407646 Enrollment ID: I20040415000185 |
| Provider Name | Oscar Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427046648 PECOS PAC ID: 7719903962 Enrollment ID: I20051018000542 |
| Provider Name | Jorge A Cavero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093703209 PECOS PAC ID: 8325064678 Enrollment ID: I20080122000754 |
| Provider Name | Guadalupe Bustamante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982692158 PECOS PAC ID: 9234328188 Enrollment ID: I20110107000973 |
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