Provider Demographics
NPI:1154352235
Name:CAMUNE, BARBARA D (CNM, WHNP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:D
Last Name:CAMUNE
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 S DAMEN AVE # MC802
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3727
Mailing Address - Country:US
Mailing Address - Phone:312-355-3038
Mailing Address - Fax:312-996-8871
Practice Address - Street 1:845 S DAMEN AVE # MC802
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3727
Practice Address - Country:US
Practice Address - Phone:312-355-3038
Practice Address - Fax:312-996-8871
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX450804367A00000X, 363LW0102X
IL209.006252367A00000X
IL209.006179363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100644703Medicaid
TX88N941OtherBCBS
TX420001409Medicare PIN
TXS31587Medicare UPIN
TX100644703Medicaid