Campbell, Thomas J
Campbell, Thomas J is an individual health care provider with primary practice located at 800 Austin St Ste 451E, Evanston IL 60202-3455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Campbell, Thomas J can be contacted via phone (847) 316-6611.Contact Information
Primary practice address
800 Austin St Ste 451E
Evanston IL 60202-3455
Phone: (847) 316-6611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036042217 | Illinois |
Profile Details
| NPI number | 1972506665 |
|---|---|
| LBN Legal business name | Campbell, Thomas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Mar 11th, 2021 - 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 | 1972506665 | NPPES |
| Illinois | MEDICAID | 036042217 |
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