MEDICARE: AMY CAMERON

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
1	1041C0700X	Clinical Social Worker	149019979	IL

General Provider Information

NPI Number	:	1699283218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY CAMERON

Provider Business Mailing Address
First Line	:	3140 N VERMILION ST
Second Line	:	SUITE 202
City	:	DANVILLE
State	:	IL
Zip	:	61832
Country	:	US
Telephone Number	:	447-200-2442
Fax Number	:	447-200-2444

Provider Business Practice Location Address
First Line	:	3140 N VERMILON ST
Second Line	:	SUITE 202
City	:	DANVILLE
State	:	IL
Zip	:	61832
Country	:	US
Telephone Number	:	447-200-2442
Fax Number	:	447-200-2444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2018
Last Update Date	:	07/16/2024

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Directions to “ AMY CAMERON ” Practice Location

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