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Contact Information

JUAN CAICEDO, MD
675 N SAINT CLAIR ST
GALTER 17-200
CHICAGO, IL60611-5975
 Phone: 312-695-8900
 Fax: 312-695-9194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUAN CAICEDO · (Male)

NPI # 1548216435
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 06/24/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-1151417
  • IL Medicaid 036115142
Hospital affiliation(s)
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
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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