Camille Ann Rea, MAMS, CCA
Anaplastologist in Chicago, IL. Individual provider (NPI-1).
NPI number1598197485
StatusActive
Last updated in NPPESAug 2, 2013
Details
- NPI
- 1598197485
- Entity type
- Individual (NPI-1)
- Name
- Ms. Camille Ann Rea
- Credential
- MAMS, CCA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2013
- Last updated
- Aug 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 229N00000X | Anaplastologist | CCA06-51 | IL | Yes |
Practice location
811 S Paulina StSuite 180
Chicago, IL 60612-4353
Phone 312-996-7546 · Fax 312-413-1157
Mailing address
811 S Paulina StSuite 180
Chicago, IL 60612-4353
Phone 312-996-7546 · Fax 312-413-1157
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