Individual
CAMILLE N STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
855 E GOLF RD, SUITE 2133, ARLINGTON HEIGHTS, IL 60005-5222
(847) 290-9122
Mailing address
7271 S SOUTH SHORE DR, CHICAGO, IL 60649-2893
(773) 314-7090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.003540
IL
Other
Enumeration date
08/23/2009
Last updated
08/23/2009
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