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Contact Information

LULLETE T CAMARA, APRN
365 MILLENNIUM DR STE D
CRYSTAL LAKE, IL60012-3747
 Phone: 815-301-4034
 Fax: 815-301-4035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for LULLETE T CAMARA · (Female)

NPI # 1639047392
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 10/24/2025
Last updated 10/27/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041307554
  • IL License # 209033677
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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