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CAMILLE ARIANNE FONSECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD,MPH

Contact information

Practice address
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637-1443
(773) 702-6760
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036168628
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/18/2018
Last updated
08/07/2024
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