Individual
DR. GERALD PAUL CAMREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.123104
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036123104
IL
2085R0202X
Diagnostic Radiology Physician
60372830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002845700
—
FL
Enumeration date
07/08/2008
Last updated
04/01/2021
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