SearchIllinois208D00000X

Juan Camacho Mojica

NPI 1508445354 · on the registry since 2021

Practice

Address
5841 S Maryland Ave # 4065
Chicago, IL 60637
Phone
(773) 702-6418

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
PR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois