IndividualActive
Abrahan Lara-Pacheco, MD
NPI 1639799109 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1639799109
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A176759 (CA)
Practice location
5841 S Maryland Ave Ste Mc6098
Chicago, IL 60637-1448
Phone: (855) 702-8222
Fax: (773) 753-0552
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Registry dates
- Enumerated
- 2020-04-24
- Last updated
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.