Campbell, Latesha Monae

Campbell, Latesha Monae is an individual health care provider with primary practice located at 10201 S Cicero Ave , Oak Lawn IL 60453-4098. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Campbell, Latesha Monae can be contacted via phone (708) 232-8993.

Contact Information

Primary practice address
10201 S Cicero Ave Oak Lawn IL 60453-4098
Phone: (708) 232-8993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056.010261 Illinois

Profile Details

NPI number 1578998167
LBN Legal business name Campbell, Latesha Monae
Credentials MOT OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2013
Last updated Apr 19th, 2022 - about 4 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 1578998167 NPPES
Illinois Other LT54271113P EARLY INTERVENTION

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