| Adalberto Campo Md Sc | |
|
1431 N Western Ave #506 Chicago IL 60622 | |
| (773) 645-1000 | |
| (773) 645-1069 |
| Full Name | Adalberto Campo Md Sc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1431 N Western Ave, Chicago, Illinois |
| Authorized Official Name and Position | Adalberto Campo (PRESIDENT) |
| Authorized Official Contact | 7736451000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adalberto Campo Md Sc 1431 N Western Ave #506 Chicago IL 60622 Ph: (773) 645-1000 | Adalberto Campo Md Sc 1431 N Western Ave #506 Chicago IL 60622 Ph: (773) 645-1000 |
| NPI Number | 1649477688 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649477688 | NPI | - | NPPES |
| 036064958 | Medicaid | IL | |
| 31602366 | Other | BLUE CROSS BLUE SHIELD IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036064958 (Illinois) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036064958 (Illinois) | Primary |
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