Provider Demographics
NPI:1306130299
Name:DELANEY, CAMILLE S (MED)
Entity type:Individual
Prefix:MS
First Name:CAMILLE
Middle Name:S
Last Name:DELANEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19030 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-5724
Mailing Address - Country:US
Mailing Address - Phone:708-203-7992
Mailing Address - Fax:
Practice Address - Street 1:19030 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-5724
Practice Address - Country:US
Practice Address - Phone:708-203-7992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst