Doctor Name: | DONNA L DECAMARA |
NPI Number: | 1043241425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036050022 |
Business Practice Address: | 1702 S Mattis Ave Champaign, IL - 618215469 |
Business Phone Number: | 2173262000 |
Business Fax Number: | |
Mailing Address: | P.o. Box 6002, URBANA |
State: | IL |
Postal Code: | 618036002 |
Phone Number: | 2173268300 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 06/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 036050022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |