Campbell, Jolly

Campbell, Jolly is an individual health care provider with primary practice located at 4559 S Oakenwald Ave , Chicago IL 60653-4513. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Campbell, Jolly can be contacted via phone (773) 373-4751.

Contact Information

Primary practice address
4559 S Oakenwald Ave Chicago IL 60653-4513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X Illinois

Profile Details

NPI number 1104010669
LBN Legal business name Campbell, Jolly
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Aug 28th, 2007 - about 17 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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