Healthcare Provider Details

I. General information

NPI: 1891356333
Provider Name (Legal Business Name): MARIA ISABEL CAMARA PLANEK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA ISABEL CAMARA PLANEK MD

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 W HARRISON ST STE 1159
CHICAGO IL
60612-3883
US

IV. Provider business mailing address

1725 W HARRISON ST STE 1159
CHICAGO IL
60612-3883
US

V. Phone/Fax

Practice location:
  • Phone: 312-942-5020
  • Fax:
Mailing address:
  • Phone: 312-942-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036159820
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036159820
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: