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NPI Code Detail

MEDICARE: CARLOS ENRIQUE VIGIL MD

MEDICARE: CARLOS ENRIQUE VIGIL 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
1207RH0003XHematology & Oncology Physician003658NY
2207RH0003XHematology & Oncology PhysicianMD-42737IA
3207RH0003XHematology & Oncology Physician036155026IL

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 : 1093914558
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS ENRIQUE VIGIL MD
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 850
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3124
Country : US
Telephone Number : 312-695-6180
Fax Number : 312-695-6189
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 850
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3124
Country : US
Telephone Number : 312-695-6180
Fax Number : 312-695-6189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2007
Last Update Date : 02/02/2021

Similar Medicare Providers

1518913094 — JOCHEN H LORCH M.D.
Practice Location Address:
676 N SAINT CLAIR ST STE 850
CHICAGO, IL
60611-3124
Practice Phone: 312-695-6180
Practice Fax: 312-695-6189
1467541813 — SOONJA L. SAWYER PA-C
Practice Location Address:
676 N SAINT CLAIR ST STE 850
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60611-3124
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Practice Fax:
1629123468 — DR. PATRICIA LEE MAULE DNP, FNP-BC, AOCNP
Practice Location Address:
676 N SAINT CLAIR ST STE 850
CHICAGO, IL
60611-3124
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Practice Fax: 312-695-6189
1528234143 — DR. SETH MICHAELS POLLACK MD
Practice Location Address:
676 N SAINT CLAIR ST STE 850
CHICAGO, IL
60611-3124
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Practice Fax: 312-695-6187
1730411489 — MR. ARIEL OMAR CHAVEZ PA-C
Practice Location Address:
676 N SAINT CLAIR ST STE 850
CHICAGO, IL
60611-3124
Practice Phone: 312-695-6180
Practice Fax: 312-695-6189
1326300815 — DR. STEPHANE DOUCET M.D.
Practice Location Address:
676 N SAINT CLAIR ST STE 850
CHICAGO, IL
60611-3124
Practice Phone: 312-695-5378
Practice Fax:

Directions to “ CARLOS ENRIQUE VIGIL MD” Practice Location

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