Provider Demographics
NPI:1245044437
Name:CAMERON, WENDY K (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:K
Last Name:CAMERON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3591 E SHAW AND SCHISLER RD
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61501-9455
Mailing Address - Country:US
Mailing Address - Phone:309-333-5994
Mailing Address - Fax:
Practice Address - Street 1:100 BUCHANAN ST
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IL
Practice Address - Zip Code:62681-1588
Practice Address - Country:US
Practice Address - Phone:217-322-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041309622163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool