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NPI Code Detail

MEDICARE: CAMERON STAMM

MEDICARE: CAMERON STAMM
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3320800000XMental Illness Community Based Residential Treatment Facility
4106H00000XMarriage & Family Therapist166.012180IL

General Provider Information

NPI Number : 1942936661
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON STAMM
Provider Business Mailing Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-847-4421
Fax Number :
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-847-4421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2022
Last Update Date : 05/01/2026

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Directions to “ CAMERON STAMM ” Practice Location

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