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CAMILLE FREDERICA HAYNES FNP
NPI 1063104065
Nurse Practitioner - Family in Chicago, IL

Active since May 25, 2023
11250 S HALSTED ST, CHICAGO, IL 60628(877) 200-7745 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Camille Frederica Haynes Fnp NPPES

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

CAMILLE FREDERICA HAYNES FNP (NPI 1063104065) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.027235) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1063104065
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAMILLE FREDERICA HAYNESCredential: FNP
Location Address11250 S HALSTED STChicago, IL 60628-4711
Mailing Address10210 S Trumbull AveEvergreen Park, IL 60805-3732
Phone(877) 200-7745
Sole ProprietorNo
Enumeration DateMay 25, 2023
NPPES CertifiedMay 25, 2023
✔ NPI 1063104065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.027235
11250 S HALSTED ST, Chicago, IL 60628
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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 Camille Haynes's NPI number?

The NPI number for Camille Haynes is 1063104065. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Camille Haynes located?

Camille Haynes practices at 11250 S Halsted St, Chicago, IL 60628. The listed phone number is (877) 200-7745.

What is Camille Haynes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Camille Haynes was last updated on May 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.