1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Pediatrics
  6. NPI Profile

CAMILLE ARIANNE FONSECA MD,MPH
NPI 1447736814
Pediatrics in Chicago, IL

Active since July 18, 2018PECOS Enrolled
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 702-6760 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, May 26, 2021, Jul 18, 2018 (3 updates tracked since 2018).

About Camille Arianne Fonseca Md,mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLE ARIANNE FONSECA MD,MPH (NPI 1447736814) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036168628) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1447736814
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAMILLE ARIANNE FONSECACredential: MD,MPH
Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone(773) 702-6760
Sole ProprietorNo
Enumeration DateJuly 18, 2018
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1447736814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036168628
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5841 S MARYLAND AVE # MC1052, Chicago, IL 60637
Open in Google Maps ↗

Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 712-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille Arianne Fonseca Md,mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DERRIUS J. ANDERSON MD
Surgery
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-2500
JI SOO KIL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-0529
DR. CANDACE WILSON MD
Pediatrics
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
MEGHAM TWISS
Counselor (Mental Health)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-4281
MELISSA YUWONO TJOTA MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-7708
MICHEAL EZEANA
Emergency Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
FRAZER TESSEMA MD
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-1447
BREANNA CHANDLER MD
Internal Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-0820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Fonseca's NPI number?

The NPI number for Camille Fonseca is 1447736814. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Camille Fonseca located?

Camille Fonseca practices at 5841 S Maryland Ave # Mc1052, Chicago, IL 60637. The listed phone number is (773) 702-6760.

What is Camille Fonseca's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Camille Fonseca enrolled in Medicare?

Yes. Camille Fonseca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Camille Fonseca was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.