Campo, Adalberto
Campo, Adalberto is an individual health care provider with primary practice located at 1431 N Western Ave Suite 506, Chicago IL 60622. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Campo, Adalberto can be contacted via phone (773) 645-1000.Contact Information
Primary practice address
1431 N Western Ave Suite 506
Chicago IL 60622
Phone: (773) 645-1000
Fax: (773) 645-1069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036064958 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036064958 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036064958 | Illinois |
Profile Details
| NPI number | 1902961006 |
|---|---|
| LBN Legal business name | Campo, Adalberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Oct 9th, 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 | 1902961006 | NPPES |
| Other | 110144723 | RAILROAD MEDICARE | |
| MEDICAID | 036064958 | RAILROAD MEDICARE | |
| Other | 31602366 | RAILROAD MEDICARE |
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