Individual
DR. CAMELIA E MARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 HARNISH DR, ALGONQUIN, IL 60102-6846
(847) 458-5440
(847) 458-5450
Mailing address
2401 HARNISH DR, ALGONQUIN, IL 60102-6846
(847) 458-5440
(847) 458-5450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036105767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105767 2
—
IL
01
—
MARIACAM
MERCYCARE INSURANCE
WI
01
—
P00466570CG6042
RR MEDICARE
IL
Enumeration date
12/09/2006
Last updated
01/11/2017
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