Campbell, Charles Wellington

Campbell, Charles Wellington is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Campbell, Charles Wellington can be contacted via phone (888) 584-7888.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (888) 584-7888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209013460 Illinois

Profile Details

NPI number 1952777088
LBN Legal business name Campbell, Charles Wellington
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2015
Last updated Apr 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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