Look up the most recent NPI and PECOS records

Gerald Paul Camren

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as GERALD CAMREN.

Based on the most recent information from CMS, provider Gerald Paul Camren is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1457514697
Provider Type
Individual
Full Name
Camren, Gerald Paul
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/8/2008
Last Updated
4/1/2021

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Mailing Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 036123104 Illinois
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 036.123104 Illinois
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 60372830 Washington

Provider Identifiers

ID	Description	Issuer
ID 002845700	Description Medicaid	Issuer Unlisted Florida

Gerald Paul Camren

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Poccia, Julia

Thapa, Nihal

Patel, Anand

Tannus, Joao Fernando Kazan

Worrell, Stewart S

Turkel, Gary

Mullen, Sheila

Ward, Kathleen A

Patel, Dil

Kuritza, Theresa Sophia