Provider Demographics
NPI:1326700691
Name:WILLIAMS RUTZ, CAMEREN
Entity type:Individual
Prefix:
First Name:CAMEREN
Middle Name:
Last Name:WILLIAMS RUTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAMEREN
Other - Middle Name:
Other - Last Name:RUTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:500 WATERS EDGE STE 100
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-7002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 WATERS EDGE STE 100
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-7002
Practice Address - Country:US
Practice Address - Phone:331-425-8625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.109465104100000X
IL149.0298281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker