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Contact Information

ABRAHAN LARA PACHECO, MD
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL60637-1448
 Phone: 855-702-8222
 Fax: 773-753-0552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ABRAHAN LARA PACHECO · (Male)

NPI # 1639799109
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2020
Last updated 10/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A176759
  • IL License # 036.164104
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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