Campbell, Rachel Grimmer
Campbell, Rachel Grimmer is an individual health care provider with primary practice located at 233 S Gary Ave , Bloomingdale IL 60108-2213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Campbell, Rachel Grimmer can be contacted via phone (630) 924-4009.Contact Information
Primary practice address
233 S Gary Ave
Bloomingdale IL 60108-2213
Phone: (630) 924-4009
Fax: (630) 924-9671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02005929A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036161624 | Illinois |
Profile Details
| NPI number | 1194254243 |
|---|---|
| LBN Legal business name | Campbell, Rachel Grimmer |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2017 |
| Last updated | May 8th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194254243 | NPPES |
| Indiana | Other | 224040141 | MEDICARE |
| Indiana | Other | IN4866006 | MEDICARE |
| Indiana | MEDICAID | 300039587 | MEDICARE |
Popular Providers
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Epperly, William L
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