Bienvenido Camacho

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

7900 W Deerwood Dr
Palos Park, IL 60464-2155

Phone

(708) 361-9971

NPI assigned

Apr 16, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1831752773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 W DEERWOOD DR",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604642155",
            "telephone_number": "708-361-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 W DEERWOOD DR",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604642155",
            "telephone_number": "708-361-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "BIENVENIDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan L. Belgrad, M.D.
• Mallory Marie Berg, FNP-C
• Roy C Bliley, M.D.
• Bridget Ann Boam
• Emilee Anne Caldwell
• Noel Camba, M.D.
• V. Grace M. Carreon, M.D.
• Stacey Ann Carroll, MA CCC SLP
• Corey L Cashen, PSY.D.
• Greganthony A Cleofe, DC

• Surgical Assistant in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.