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NPI Code Detail

MEDICARE: KAYLEE VIRGINIA CAMILLO

MEDICARE: KAYLEE VIRGINIA CAMILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1942164314
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE VIRGINIA CAMILLO
Provider Business Mailing Address
First Line : 309 S LONG ST APT C
Second Line :
City : CASEYVILLE
State : IL
Zip : 62232-1570
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 332 S MICHIGAN AVE STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604-4393
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ KAYLEE VIRGINIA CAMILLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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