Individual provider · Type 1 NPI
Humberto Vergara, MD
Addiction Medicine (Family Medicine) Physician · Chicago, IL
NPI number
1124004262
Active
Practice location
1431 N Western Ave, Suite 205
Chicago, IL 60622-1797
Fax (773) 278-5920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 036-072013 (IL) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1124004262
Humberto Vergara, MD's National Provider Identifier is 1124004262, issued on Dec 20, 2005. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Chicago, IL. The record was last updated on Aug 31, 2010.