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NPI Code Detail

MEDICARE: DR. ERNEST C CABRERA MD

MEDICARE: DR. ERNEST C CABRERA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician036099643IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851340855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERNEST C CABRERA MD
Provider Business Mailing Address
First Line : 120 W 22ND ST STE 200
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1563
Country : US
Telephone Number : 630-573-5000
Fax Number : 312-633-5863
Provider Business Practice Location Address
First Line : 2222 W DIVISION ST STE 260
Second Line :
City : CHICAGO
State : IL
Zip : 60622-2990
Country : US
Telephone Number : 872-208-7619
Fax Number : 773-483-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 08/05/2022

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Directions to “ DR. ERNEST C CABRERA MD” Practice Location

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