SearchIllinois207Q00000X

Andrea Haynes

NPI 1720585029 · on the registry since 2018

Practice

Address
5425 W Lake St
Chicago, IL 60644
Phone
(773) 378-3347
Organisation at this address
Pcc Community Wellness Center
Pcc Community Wellness Center
Pcc Community Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois