William Cleveland Campbell, DO | |
18636 Dixie Hwy, Homewood, IL 60430-3741 | |
(708) 647-0571 | |
Not Available |
Full Name | William Cleveland Campbell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 18636 Dixie Hwy, Homewood, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023287745 | NPI | - | NPPES |
1619280203 | Other | IL | GROUP NPI # |
IL5686006 | Other | IL | MEDICARE PTAN |
36-2167869 | Other | IL | GROUP TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036119743 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Campbell Health Solutions Sc | 4981821931 | 4 |
Campbell Health Solutions Sc | 4981821931 | 4 |
Entity Name | Campbell Health Solutions Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538571443 PECOS PAC ID: 4981821931 Enrollment ID: O20140814001643 |
Mailing Address | Practice Location Address |
---|---|
William Cleveland Campbell, DO 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 Ph: (317) 528-4800 | William Cleveland Campbell, DO 18636 Dixie Hwy, Homewood, IL 60430-3741 Ph: (708) 647-0571 |
Crystal D. Hines-mays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 | |
Dr. Priya Shastri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17901 Governors Hwy Ste 100, Homewood, IL 60430 Phone: 708-213-7975 Fax: 708-213-7975 | |
Lisa K. Richardson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 |