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PATHERESA A MCCAMY LPN
NPI 1679225940
Licensed Practical Nurse in East Peoria, IL

Active since January 19, 2022
731 SABRINA DR UNIT C, EAST PEORIA, IL 61611(309) 699-9700(309) 699-2937 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 24, 2022, Jan 19, 2022 (2 updates tracked since 2022).

About Patheresa A Mccamy Lpn NPPES

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

PATHERESA A MCCAMY LPN (NPI 1679225940) is an individual licensed practical nurse in East Peoria, Illinois, licensed in Illinois (043129490) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1679225940
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePATHERESA A MCCAMYCredential: LPN
Location Address731 SABRINA DR UNIT CEast Peoria, IL 61611-3582
Mailing Address731 Sabrina Dr Unit CEast Peoria, IL 61611-3582 · (309) 699-9700 · Fax (309) 699-2937
Phone(309) 699-9700
Fax(309) 699-2937
Sole ProprietorYes
Enumeration DateJanuary 19, 2022
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1679225940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043129490
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
731 SABRINA DR UNIT C, East Peoria, IL 61611
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

PEORIA TREATMENT CENTER, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (877) 592-5901
MR. ISRAEL P SERRANO BS CADC MISA
Counselor (Addiction (Substance Use Disorder))
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
BRIANA NESBIT LPN
Licensed Practical Nurse
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
CHRISTINA MCGREW APN
Nurse Practitioner
731 SABRINA DR UNIT C
PEORIA, IL 61611
Tazewell County (309) 699-9700
ELENA MARIA RICKARD CADC
Counselor (Addiction (Substance Use Disorder))
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
MRS. ANETA M BYRD LPN
Licensed Practical Nurse
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
NICOLE J REESE BSW
Counselor (Addiction (Substance Use Disorder))
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700
CHRISTOPHER WALKER BA
Counselor (Addiction (Substance Use Disorder))
731 SABRINA DR UNIT C
EAST PEORIA, IL 61611
Tazewell County (309) 699-9700

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 Patheresa Mccamy's NPI number?

The NPI number for Patheresa Mccamy is 1679225940. It was assigned to this individual provider in the NPPES registry on January 19, 2022.

Where is Patheresa Mccamy located?

Patheresa Mccamy practices at 731 Sabrina Dr Unit C, East Peoria, IL 61611. The listed phone number is (309) 699-9700.

What is Patheresa Mccamy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Patheresa Mccamy was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.