Active NPI
Lullete Tiu Camara, APRN
- Primary Care Nurse Practitioner
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 209033677
- Practice address
- 365 Millennium Dr Ste D
Crystal Lake, IL 60012-3747 - Phone
- (815) 301-4034
- Fax
- (815) 301-4035
- NPI assigned
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209033677 | IL | Primary |
| Home Health Registered Nurse | 163WH0200X | 041307554 | IL |
Addresses
Primary practice location
365 Millennium Dr Ste D
Crystal Lake, IL 60012-3747
Mailing address
6617 Majestic Way
Carpentersville, IL 60110-3439
Phone (815) 301-4034
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5979 Nebeshone LN
Rockford, IL 61103-8926
811 W 2ND St
Byron, IL 61010-1464
Phone (815) 234-2511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041307554 | IL | MD | Home Health Registered Nurse |
| 209033677 | IL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jet Healthcare LLC | Current | Accepting new patients | |
| Renew Wound Care of Illinois PLLC | Current | Accepting new patients | |
| Care Solutions, Inc. | Current | Accepting new patients |
Locations
365 Millennium Dr
Ste D
Crystal Lake, IL 60012
Phone (815) 301-4034
1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Care Solutions, Inc. | Home health agency | Corporate Director W-2 Managing Employee Operational/Managerial Control |
Mar 10, 2004 Mar 10, 2004 Mar 10, 2004 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Crystal Lake, IL
- NPI 1285650812
Corporate Director, Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 3
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.
-
- Nurse Practitioner
- Rockford, IL
- NPI 1265052401
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1578146882
-
- Home Health Agency
- Crystal Lake, IL
- NPI 1285650812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1639047392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6617 MAJESTIC WAY",
"city": "CARPENTERSVILLE",
"state": "IL",
"postal_code": "601103439",
"telephone_number": "815-301-4034",
"fax_number": "815-301-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 MILLENNIUM DR STE D",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600123747",
"telephone_number": "815-301-4034",
"fax_number": "815-301-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMARA",
"first_name": "LULLETE",
"middle_name": "TIU",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-24",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209033677",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "IL",
"license": "041307554",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.