Individual
LULLETE TIU CAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
365 MILLENNIUM DR STE D, CRYSTAL LAKE, IL 60012-3747
(815) 301-4034
(815) 301-4035
Mailing address
6617 MAJESTIC WAY, CARPENTERSVILLE, IL 60110-3439
(815) 301-4034
(815) 301-4035
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
041307554
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209033677
IL
Other
Enumeration date
10/24/2025
Last updated
10/27/2025
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