Dr Charles D Campbell, MD | |
2525 S Michigan Ave, Chicago, IL 60616-2333 | |
(312) 961-9632 | |
(312) 831-1250 |
Full Name | Dr Charles D Campbell |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 2525 S Michigan Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518969245 | NPI | - | NPPES |
036054924 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
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208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036-054924 (Illinois) | Primary |
Entity Name | Elmwood Park Immediate Health Care Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356396758 PECOS PAC ID: 2466440839 Enrollment ID: O20040504000988 |
Mailing Address | Practice Location Address |
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Dr Charles D Campbell, MD 357 N Canal St, Chicago, IL 60606-1207 Ph: (312) 961-9632 | Dr Charles D Campbell, MD 2525 S Michigan Ave, Chicago, IL 60616-2333 Ph: (312) 961-9632 |
Ankit Bharat, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 650, Chicago, IL 60611 Phone: 312-926-7628 | |
Prof. Cemil Selim Isbir, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 215 W Lake St Apt 1308, Chicago, IL 60606 Phone: 310-623-0850 | |
Dr. Marshall David Goldin, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1725 W Harrison St, Suite 1156, Chicago, IL 60612 Phone: 312-563-2763 | |
Tae H Song, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Michael C Monge, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave # 22, Cardiovascular Surgery, Chicago, IL 60611 Phone: 312-227-4240 Fax: 312-227-9643 | |
Miss Keiko Okumura, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1635 West Congress Parkway, Chicago, IL 60612 Phone: 312-943-6370 Fax: 312-943-6052 | |
Hidefumi Nishida, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 |