Individual
CHANNON MICHELLE LEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN, RN, MPH
Contact information
Practice address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
Mailing address
1595 ATWATER ST APT 102, DETROIT, MI 48207-4075
(616) 745-8300
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209032600
IL
367A00000X
Advanced Practice Midwife
4704357340
MI
Other
Enumeration date
03/03/2025
Last updated
06/25/2025
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