Provider Demographics
NPI:1629619127
Name:CAMIO INC
Entity Type:Organization
Organization Name:CAMIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRIY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:RSA
Authorized Official - Phone:773-619-3961
Mailing Address - Street 1:830 N WASHTENAW AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-4787
Mailing Address - Country:US
Mailing Address - Phone:773-619-3961
Mailing Address - Fax:
Practice Address - Street 1:830 N WASHTENAW AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-4787
Practice Address - Country:US
Practice Address - Phone:773-619-3961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-05
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty