MEDICARE: CAM MEDICAL GROUP S.C.

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
1	207R00000X	Internal Medicine Physician	036094236	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1992863526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAM MEDICAL GROUP S.C.

Provider Business Mailing Address
First Line	:	1349 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-8316
Country	:	US
Telephone Number	:	773-384-8584
Fax Number	:	866-777-2763

Provider Business Practice Location Address
First Line	:	1349 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-8316
Country	:	US
Telephone Number	:	773-384-8584
Fax Number	:	866-777-2763

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	CESAR AUGUSTO MORALES
Credential	:	MD
Telephone Number	:	773-878-6600

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	02/19/2026

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