Active NPI
Camille Enriquez, MD
- Emergency Medicine Physician
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036150100
- Practice address
- 3249 Oak Park Ave
Berwyn, IL 60402-3429 - Phone
- (708) 783-9100
- NPI assigned
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036150100 | IL | Primary |
Addresses
Primary practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Mailing address
3249 Oak Park Ave
Berwyn, IL 60402-3429
Other practice location 1
500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2400
Other practice location 2
635 N Dearborn St Ste 100
Chicago, IL 60654-4618
Phone (312) 694-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200806000439 | IL | Practitioner - Emergency Medicine | 4880019934 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Faculty FoundationCepamerica Illinois LLP
Practice addresses (Care Compare)
171 N Aberdeen St
Suite 100
Chicago, IL 60607-1669
Phone (312) 926-4150
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
4732 N Lincoln Ave
Chicago, IL 60625-8561
Phone (847) 475-2273
635 N Dearborn St
Chicago, IL 60654-4618
Phone (312) 926-0404
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Saint Francis Hospital-Evanston
- Presence St Marys Hospital
- Macneal Hospital
- Northwestern Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036150100 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations (25 of 34)
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
2635 Church Rd
Ste 101
Aurora, IL 60502
Phone (630) 315-6900
820 S State Route 59
Ste A
Bartlett, IL 60103
Phone (630) 483-5930
820 S State Route 59
Bartlett, IL 60103
Phone (630) 213-9600
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
231 S Gary Ave
Ste 100
Bloomingdale, IL 60108
Phone (630) 893-9600
Dept 5777
Carol Stream, IL 60122
171 N Aberdeen St
Ste 100
Chicago, IL 60607
Phone (312) 694-2273
4445 W Irving Park Rd
Ste 110
Chicago, IL 60641
Phone (312) 921-0417
4732 N Lincoln Ave
Chicago, IL 60625
Phone (312) 926-0536
1135 S Delano Ct E
Ste B201
Chicago, IL 60605
Phone (312) 694-2500
1333 W Belmont Ave
Ste 100
Chicago, IL 60657
Phone (312) 693-2273
360 Station Dr
Ste 300A
Crystal Lake, IL 60014
Phone (815) 788-7500
350 S Waukegan Rd
Ste 150
Deerfield, IL 60015
Phone (312) 926-3107
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
1630 Sherman Ave
Ste 130
Evanston, IL 60201
Phone (224) 271-4400
885 Roosevelt Rd
Ste 100
Glen Ellyn, IL 60137
Phone (630) 384-6200
2701 Patriot Blvd
Ste 110
Glenview, IL 60026
Phone (312) 694-2273
6155 Grand Ave
Ste 100
Gurnee, IL 60031
Phone (224) 271-6700
10350 Haligus Rd
Ste A
Huntley, IL 60142
Phone (815) 455-6100
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
525 Rockland Rd
Ste 100
Lake Bluff, IL 60044
Phone (847) 475-2273
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
2507 N Richmond Rd
Ste B
McHenry, IL 60051
Phone (815) 206-7500
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
Emergency Medicine, IL
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
IL
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Durable Medical Equipment & Medical Supplies
- Evanston, IL
- NPI 1124733019
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1275759789
-
- Durable Medical Equipment & Medical Supplies
- Glenview, IL
- NPI 1316590409
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1376961524
-
- Eyewear Supplier
- Evanston, IL
- NPI 1427741909
-
- Durable Medical Equipment & Medical Supplies
- Lake Forest, IL
- NPI 1467005520
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1497308340
-
- Durable Medical Equipment & Medical Supplies
- Oak Brook, IL
- NPI 1497516454
-
- Optometrist
- Chicago, IL
- NPI 1588063572
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
Hospital
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1063969376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3249 OAK PARK AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 OAK PARK AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023429",
"telephone_number": "708-783-9100"
}
],
"practiceLocations": [
{
"address_1": "500 W Court St",
"address_purpose": "LOCATION",
"city": "Kankakee",
"state": "IL",
"postal_code": "609013661",
"country_code": "US",
"telephone_number": "815-937-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "635 N Dearborn St Ste 100",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606544618",
"country_code": "US",
"telephone_number": "312-694-2273",
"fax_number": "312-694-2129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "CAMILLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036150100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.