Campbell, Jendayi

Campbell, Jendayi is an sole proprietor health care provider with primary practice located at 2065 Half Day Rd , Deerfield IL 60015-1241. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Campbell, Jendayi can be contacted via phone (630) 487-9241.

Contact Information

Primary practice address
2065 Half Day Rd Deerfield IL 60015-1241
Phone: (630) 487-9241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1306365150
LBN Legal business name Campbell, Jendayi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2017
Last updated Sep 13th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306365150 NPPES
Illinois Other XOH846989710 BLUE CROSS BLUE SHIELD

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