Individual
JUAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 W 15TH ST, 1ST FLOOR, CHICAGO, IL 60608-1610
(773) 257-1700
(773) 257-6888
Mailing address
2720 W 15TH ST, 1ST FLOOR, CHICAGO, IL 60608-1610
(773) 257-1700
(773) 257-6888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-109131
IL
Other
Enumeration date
08/17/2006
Last updated
05/06/2012
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