Individual provider · NPI-1
Camille Enriquez, MD
Emergency Medicine · Berwyn, IL
NPI number1063969376
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1063969376
- Entity type
- Individual (NPI-1)
- Name
- Camille Enriquez
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2016
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 036150100 | IL | Yes |
Practice location
3249 Oak Park AveBerwyn, IL 60402-3429
Phone 708-783-9100
Mailing address
3249 Oak Park AveBerwyn, IL 60402-3429
Other practice locations
635 N Dearborn St Ste 100
Chicago, IL 60654-4618
Chicago, IL 60654-4618
Phone 312-694-2273 · Fax 312-694-2129
500 W Court St
Kankakee, IL 60901-3661
Kankakee, IL 60901-3661
Phone 815-937-2400
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