CAMILLE ARIANNE FONSECA

CHICAGO, IL
NPI1447736814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  125078449)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-07-18
Last Update Date2021-05-26
Business Address
CAMILLE ARIANNE FONSECA MD,MPH
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637-1443
Phone number: 773-702-6760
Mailing Address
CAMILLE ARIANNE FONSECA MD,MPH
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150