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JUAN CARLOS CAMACHO MOJICA
NPI 1508445354
General Practice in Chicago, IL

Active since April 07, 2021PECOS Enrolled
5841 S MARYLAND AVE # 4065, CHICAGO, IL 60637(773) 702-6418 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Jan 7, 2025, Feb 18, 2023 and 1 more (4 updates tracked since 2021).

About Juan Carlos Camacho Mojica NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN CARLOS CAMACHO MOJICA (NPI 1508445354) is an individual general practice provider in Chicago, Illinois, licensed in Puerto Rico (23850) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508445354
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJUAN CARLOS CAMACHO MOJICA
Location Address5841 S MARYLAND AVE # 4065Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-6418
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1508445354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 23850
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5841 S MARYLAND AVE # 4065, Chicago, IL 60637
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Carlos Camacho Mojica is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Camacho Mojica's NPI number?

The NPI number for Juan Camacho Mojica is 1508445354. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Juan Camacho Mojica located?

Juan Camacho Mojica practices at 5841 S Maryland Ave # 4065, Chicago, IL 60637. The listed phone number is (773) 702-6418.

What is Juan Camacho Mojica's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Juan Camacho Mojica enrolled in Medicare?

Yes. Juan Camacho Mojica is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juan Camacho Mojica was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.