| Campbell Health Solutions Sc | |
|
16650 Harlem Ave Suite 6 Tinley Park IL 60477-1847 | |
| (708) 802-9355 | |
| Not Available |
| Full Name | Campbell Health Solutions Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 16650 Harlem Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | William C Campbell (OWNER) |
| Authorized Official Contact | 7088029355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Health Solutions Sc 16650 Harlem Ave Suite 6 Tinley Park IL 60477-1847 Ph: (708) 802-9355 | Campbell Health Solutions Sc 16650 Harlem Ave Suite 6 Tinley Park IL 60477-1847 Ph: (708) 802-9355 |
| NPI Number | 1538571443 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 4981821931 |
|---|---|
| Medicare Enrollment ID | O20140814001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538571443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036119743 (Illinois) | Primary |
| Provider Name | William C Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023287745 PECOS PAC ID: 6204913692 Enrollment ID: I20080409000593 |
| Provider Name | Ebby P Jido |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730258047 PECOS PAC ID: 6800929027 Enrollment ID: I20100809000275 |
| Provider Name | Roy J Bardwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154562080 PECOS PAC ID: 2769516905 Enrollment ID: I20100810000723 |
| Provider Name | Yifei Du |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073991345 PECOS PAC ID: 2264727429 Enrollment ID: I20181224000355 |
| Provider Name | Michael Favila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447781521 PECOS PAC ID: 6608146949 Enrollment ID: I20210623002520 |
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