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Contact Information

EDITH CAMPOS
5939 S TRIPP AVE
CHICAGO, IL60629-4938
 Phone: 773-895-3055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for EDITH CAMPOS · (Female)

NPI Number 1578388401
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2024
Last updated 11/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 041423226
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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