Provider Demographics
NPI:1992863526
Name:CAM MEDICAL GROUP S.C
Entity Type:Organization
Organization Name:CAM MEDICAL GROUP S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:AUGUSTO
Authorized Official - Last Name:MORLAES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-878-6060
Mailing Address - Street 1:4733 N DAMEN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-1442
Mailing Address - Country:US
Mailing Address - Phone:773-878-6060
Mailing Address - Fax:773-878-7858
Practice Address - Street 1:4733 N DAMEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-1442
Practice Address - Country:US
Practice Address - Phone:773-878-6060
Practice Address - Fax:773-878-7858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty