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Individual

MS. CAMILLE ANN REA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAMS, CCA

Contact information

Practice address
811 S PAULINA ST, SUITE 180, CHICAGO, IL 60612-4353
(312) 996-7546
(312) 413-1157
Mailing address
811 S PAULINA ST, SUITE 180, CHICAGO, IL 60612-4353
(312) 996-7546
(312) 413-1157

Taxonomy

Speciality
Code
Description
License number
State
229N00000X
Anaplastologist
Primary
CCA06-51
IL

Other

Enumeration date
08/02/2013
Last updated
08/02/2013
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