Individual
DR. STEPHANIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-0062
Mailing address
1900 W POLK ST, CHICAGO, IL 60612-3723
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.059318
IL
207P00000X
Emergency Medicine Physician
Primary
50177
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.059318
MEDICAL LICENSE
IL
Enumeration date
05/29/2011
Last updated
11/05/2024
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