| Cavero Clinic Llc | |
|
4007 W 63rd St Chicago IL 60629-4605 | |
| (773) 767-2266 | |
| Not Available |
| Full Name | Cavero Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4007 W 63rd St, Chicago, Illinois |
| Authorized Official Name and Position | Jorge A Cavero (PRESIDENT) |
| Authorized Official Contact | 3124932525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cavero Clinic Llc 4007 W 63rd St Chicago IL 60629-4605 Ph: (773) 767-2266 | Cavero Clinic Llc 4007 W 63rd St Chicago IL 60629-4605 Ph: (773) 767-2266 |
| NPI Number | 1215712468 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215712468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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