Individual
CAMERON RENEE HATLEVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN222771
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
209031837
IL
367500000X
Certified Registered Nurse Anesthetist
7309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN222771
RN LICENSURE
GA
Enumeration date
07/11/2021
Last updated
08/19/2025
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