Organization
CHARLES D. CAMPBELL, MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D CAMPBELL MD (PRESIDENT)
(312) 961-9632
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 961-9632
Mailing address
357 N CANAL ST, CHICAGO, IL 60606-1207
(312) 961-9632
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036054924
IL
Other
Enumeration date
07/23/2007
Last updated
08/17/2010
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