CAMILLERI MEDICAL CENTER LTD NPI 1225248396

NPI Information

NPI: 1225248396
Provider Name: CAMILLERI MEDICAL CENTER LTD
Classification: Podiatrist - 213ES0103X
Specialization: Foot & Ankle Surgery
Entity Type: Organization
:
Address: 6845 STANLEY AVE
BERWYN, IL
ZIP 60402
Phone: (708) 788-5239

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NPI Details

CAMILLERI MEDICAL CENTER LTD is a foot and ankle surgery podiatrist in Berwyn, IL. CAMILLERI MEDICAL CENTER LTD NPI is 1225248396. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

6845 STANLEY AVE
BERWYN, IL
ZIP 60402-041
Phone: (708) 788-5239
Fax: (708) 788-3618

The provider's authorized official is Mark Camilleri .
The authorized official title is Owner/ceo and has the following contact phone number (708) 788-5239.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016004695	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	60001136	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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