Campanella, Haili M
Campanella, Haili M is an sole proprietor health care provider with primary practice located at 1324 N Sheridan Rd , Waukegan IL 60085-2161. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Campanella, Haili M can be contacted via phone (847) 360-9800.Contact Information
Primary practice address
1324 N Sheridan Rd
Waukegan IL 60085-2161
Phone: (847) 360-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 041419742 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 209015946 | Illinois |
Profile Details
| NPI number | 1184151193 |
|---|---|
| LBN Legal business name | Campanella, Haili M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2017 |
| Last updated | Apr 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184151193 | NPPES |
| Illinois | Other | F0117638 | AANP |
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