Organization
ADALBERTO CAMPO MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADALBERTO CAMPO MD SC (PRESIDENT)
(773) 645-1000
Entity
Organization
Contact information
Practice address
1431 N WESTERN AVE, #506, CHICAGO, IL 60622
(773) 645-1000
(773) 645-1069
Mailing address
1431 N WESTERN AVE, #506, CHICAGO, IL 60622
(773) 645-1000
(773) 645-1069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036064958
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036064958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064958
—
IL
01
—
31602366
BLUE CROSS BLUE SHIELD IL
—
Enumeration date
07/02/2007
Last updated
09/11/2025
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