Individual
LEE CREPEAU CAMPANO
Active
Individual
LEE CREPEAU CAMPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036121158
IL
207R00000X
Internal Medicine Physician
Primary
1014913
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121158
—
IL
01
—
920540
MEDICARE GROUP PTAN
IL
01
—
F400137178
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
04/17/2007
Last updated
11/07/2025
Update your record
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