Individual
DOUGLAS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 S WAUKEGAN RD, A1, LAKE FOREST, IL 60045-2696
(847) 234-4800
(847) 234-4876
Mailing address
825 S WAUKEGAN RD, SUITE A1, LAKE FOREST, IL 60045-2696
(847) 234-4800
(847) 234-4876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-018258
IL
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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