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Individual

QUINCY LEE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
136 S EUCLID AVE, BRADLEY, IL 60915-2305
(708) 905-3359
Mailing address
1585 N STATE ROUTE 50 # 1059, BOURBONNAIS, IL 60914-4429
(708) 905-3359

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
IL

Other

Enumeration date
01/14/2026
Last updated
01/14/2026
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