NPI 1063375236

Chenetra Campbell

Practitioner Driver Lansing, IL

Practice location

Address: 17910 Escanaba Ave, Lansing, IL 60438-2118
Phone: (312) 316-9212

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1063375236
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2025
Record last updated: 4 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.