Individual
CHENETRA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17910 ESCANABA AVE, LANSING, IL 60438-2118
(312) 316-9212
Mailing address
17910 ESCANABA AVE, LANSING, IL 60438-2118
(312) 316-9212
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
IL
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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