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Contact Information

PABLO E CHAGOYA, MD
6545 CERMAK RD
BERWYN, IL60402-2313
 Phone: 708-788-0077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PABLO E CHAGOYA · (Male)

NPI # 1235128075
Status Active
Credentials MD
Entity Individual
Enumeration date 10/14/2005
Last updated 09/22/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036112461
  • IL Medicaid 036-112461-1
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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