Individual
SALLY ANN CAMPBELL-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, UNIVERSITY OF ILLINOIS AT CHICAGO HOSPITAL ROOM 3138, CHICAGO, IL 60612-7232
(312) 996-1350
Mailing address
840 S WOOD ST, MC 847 ROOM 130 CSN UIC DEPT OF PATHOLOGY, CHICAGO, IL 60612-4325
(312) 996-1350
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
036117084
IL
207ZC0006X
Clinical Pathology Physician
Primary
036-117084
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
036117084
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412330100
—
MD
Enumeration date
05/01/2006
Last updated
07/14/2020
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