Individual
LIZBETH CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
720 NORWAY PL, OSWEGO, IL 60543-7556
(630) 770-8019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.432140
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209030842
IL
Other
Enumeration date
07/31/2023
Last updated
01/14/2025
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