Camilla Black

NPI 1972350155 · on the registry since 2024 · sole proprietor

Practice

Address: 3545 N Vermilion St
Danville, IL 61832
Phone: (217) 651-6801
Organisation at this address: Danville Clinic Pllc
Two Roads Wellness Clinic, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-05-04

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