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Individual

CAMILLE D. HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, MSN, DNP

Contact information

Practice address
1900 W POLK ST STE 154, CHICAGO, IL 60612-3723
(312) 914-1979
(312) 864-9009
Mailing address
1900 W POLK ST STE 154, CHICAGO, IL 60612-3723

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041-330392
IL

Other

Enumeration date
10/23/2018
Last updated
10/23/2018
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