Individual
CAMILLE FREDERICA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11250 S HALSTED ST, CHICAGO, IL 60628-4711
(877) 200-7745
Mailing address
10210 S TRUMBULL AVE, EVERGREEN PARK, IL 60805-3732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.027235
IL
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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