Individual
DR. CHARLES D CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 961-9632
(312) 831-1250
Mailing address
357 N CANAL ST, CHICAGO, IL 60606-1207
(312) 961-9632
(312) 831-1250
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036-054924
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054924
—
IL
Enumeration date
08/12/2005
Last updated
08/17/2010
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