Hugo Camacho, AT
Individual provider Active NPI Athletic Trainer · Burbank, IL
NPI 1326784174 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1326784174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 8300 Austin Ave
Burbank, IL 60459-2502 - Phone
- (708) 600-7653
- NPI assigned
- May 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer |
2255A2300X | Yes |
Addresses
Primary practice location
8300 Austin Ave
Burbank, IL 60459-2502
Mailing address
8300 Austin Ave
Burbank, IL 60459-2502
Phone (708) 600-7653
Other providers in Burbank, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.