NPI 1255606778

Cammi, LLC

Organisation Exclusive Provider Organization Evanston, IL

Practice location

Address: 1840 Oak Ave Suite 125, Evanston, IL 60201-3642
Phone: (773) 649-4154
Fax: (773) 453-3202

Authorised official

Name: Mark Rosenbloom
Title: Chief Medical Officer
Phone: (773) 649-4154

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 036.085053 (IL)

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Registry record

NPI: 1255606778
Entity type: Organization
NPI issued: 16 Mar 2012
Record last updated: 16 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.