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Contact Information

CHARLES D CAMPBELL, MD
2525 S MICHIGAN AVE
CHICAGO, IL60616-2333
 Phone: 312-961-9632
 Fax: 312-831-1250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES D CAMPBELL · (Male)

NPI # 1518969245
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2005
Last updated 08/17/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-054924
  • IL Medicaid 036054924
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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