Campbell, David R
Campbell, David R is an individual health care provider with primary practice located at 2151 Waukegan Rd , Bannockburn IL 60015-1885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Campbell, David R can be contacted via phone (847) 444-5300.Contact Information
Primary practice address
2151 Waukegan Rd
Bannockburn IL 60015-1885
Phone: (847) 444-5300
Fax: (847) 267-0649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036072646 | Illinois |
Profile Details
| NPI number | 1124065453 |
|---|---|
| LBN Legal business name | Campbell, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Oct 6th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124065453 | NPPES |
| Illinois | MEDICAID | 036072646 |
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