Dr. Humberto Vergara
Family Doctor - Addiction Medicine
1431 N Western Ave Suite 205
Chicago
, Illinois 60622-1797
Dr. Humberto Vergara
Family Doctor - Addiction Medicine
1431 N Western Ave Suite 205
Chicago
, Illinois 60622-1797
(773) 278-5920
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Humberto Vergara
- 1431 N Western Ave Suite 205
- Chicago, IL
- Zip : 60622-1797
- Fax : (773) 278-5920
- Phone : (773) 278-4811
Second Address
- Dr. Humberto Vergara
- 1431 N Western Ave Suite 205
- Chicago, IL
- Zip : 60622-1797
- Fax : (773) 278-5920
- Phone : (773) 278-4811
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FAQs
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Is Dr. Humberto Vergara a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 036-072013 | IL |
National Provider Identifier
| NPI | 1124004262 |
|---|---|
| Provider Name | Dr. Humberto Vergara |
| First Address | Chicago, IL 60622-1797 |
| Second Address | Chicago, IL 60622-1797 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2005 |
| Last Update Date | 31/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036072013 | (05) | IL |
| C50645 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.