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NPI Code Detail

MEDICARE: CAMILLE A ROGELL APRN, CNS

MEDICARE: CAMILLE A ROGELL APRN, CNS
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
1364SA2200XAdult Health Clinical Nurse Specialist209.003033IL
2364S00000XClinical Nurse Specialist209-003033IL

General Provider Information

NPI Number : 1992721112
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE A ROGELL APRN, CNS
Provider Business Mailing Address
First Line : 675 N SAINT CLAIR ST STE 19-100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5969
Country : US
Telephone Number : 312-695-4965
Fax Number : 312-695-5774
Provider Business Practice Location Address
First Line : 675 N SAINT CLAIR ST STE 19-100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5969
Country : US
Telephone Number : 312-695-4965
Fax Number : 312-695-5774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 09/26/2023

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Directions to “ CAMILLE A ROGELL APRN, CNS” Practice Location

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