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Individual

REGINE PHILIZAIRE CAMACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, MSN, AGPCNP-C

Contact information

Practice address
259 E ERIE ST STE 1950, CHICAGO, IL 60611-3907
(312) 926-3185
(312) 926-7382
Mailing address
6352 N LINCOLN AVE, CHICAGO, IL 60659-1213
(872) 208-3095

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024946
IL
363LA2200X
Adult Health Nurse Practitioner
209.024946
IL

Other

Enumeration date
03/24/2022
Last updated
01/01/2025
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