NPI 1740513431
Charles Douglas Campbell
Practice location
- Address
- 2018 217th St, Sauk Village, IL 60411-4521
- Phone
- (773) 283-1742
- Fax
- (773) 283-1742
- Mailing address
- 4743 N Kilbourn Ave, Chicago, IL 60630-4006
Registered specialties
Driver
Primary
Registry record
- NPI
- 1740513431
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Sep 2009
- Record last updated
- 11 Sep 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.