Healthcare Provider Details

I. General information

NPI: 1386618866
Provider Name (Legal Business Name): LOUIS E CAMRAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 11/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N HIGHLAND AVE SUITE #4
AURORA IL
60506-1451
US

IV. Provider business mailing address

1300 N HIGHLAND AVE SUITE #4
AURORA IL
60506-1451
US

V. Phone/Fax

Practice location:
  • Phone: 630-896-7788
  • Fax: 630-896-7794
Mailing address:
  • Phone: 630-896-7788
  • Fax: 630-896-7794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-078617
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: