Individual
MRS. EDITH CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5939 S TRIPP AVE, CHICAGO, IL 60629-4938
(773) 895-3055
Mailing address
5939 S TRIPP AVE, CHICAGO, IL 60629-4938
(773) 895-3055
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
041423226
IL
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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