Individual
DORTHIA D CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8820
(309) 624-8820
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8820
(309) 624-8820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6647
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
209030955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100054093
—
WI
Enumeration date
01/09/2016
Last updated
07/28/2025
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