Campbell, Charles D

Campbell, Charles D is an individual health care provider with primary practice located at 2525 S Michigan Ave , Chicago IL 60616-2333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Campbell, Charles D can be contacted via phone (312) 961-9632.

Contact Information

Primary practice address
2525 S Michigan Ave Chicago IL 60616-2333
Phone: (312) 961-9632
Fax: (312) 831-1250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036-054924 Illinois

Profile Details

NPI number 1518969245
LBN Legal business name Campbell, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Aug 17th, 2010 - about 15 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 1518969245 NPPES
Illinois MEDICAID 036054924

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