Individual
CHARLES WELLINGTON CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, BUILDING 112, RM 155, MAYWOOD, IL 60153-3328
(708) 216-5901
(708) 216-9228
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209013460
IL
Other
Enumeration date
08/12/2015
Last updated
04/01/2021
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