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Search › Illinois › 133V00000X

Camilla Provencher, RDN

NPI 1760347322 · on the registry since 2025

Practice

Address
816 Featherstone Rd
Rockford, IL 61107
Phone
(815) 227-0081
Organisation at this address
Madison Vamc
Madison Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
133V00000X
133V00000X
Sex
Female
Record last updated
2025-12-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois