# CHARLES D. CAMPBELL, MD LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215137880
- **Authorized official:** MR. CHARLES D CAMPBELL MD (PRESIDENT)
- **Authorized official phone:** (312) 961-9632

## Contact information

- **Practice address:** 2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
- **Practice address phone:** (312) 961-9632
- **Mailing address:** 357 N CANAL ST, CHICAGO, IL 60606-1207
- **Mailing address phone:** (312) 961-9632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 036054924 | IL | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 08/17/2010