Individual
DONNA L DECAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1702 S MATTIS AVE, CHAMPAIGN, IL 61821-5469
(217) 326-2000
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036050022
IL
Other
Enumeration date
07/05/2006
Last updated
06/05/2012
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