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Individual

MRS. LINDA A CAMP

Active
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Individual

MRS. LINDA A CAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
370663567
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01071425A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326268202
GROUP NPI
IL
01
—
201080210
MEDICAID
IN
05
—
2171475
—
OH
05
—
36119449
—
IL
01
—
P01120501
RAILROAD MEDICARE
IN
Enumeration date
11/14/2005
Last updated
09/18/2024
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