Campbell, Thomas J

Campbell, Thomas J is an individual health care provider with primary practice located at 800 Austin St Ste 451E, Evanston IL 60202-3455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Campbell, Thomas J can be contacted via phone (847) 316-6611.

Contact Information

Primary practice address
800 Austin St Ste 451E Evanston IL 60202-3455
Phone: (847) 316-6611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036042217 Illinois

Profile Details

NPI number 1972506665
LBN Legal business name Campbell, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972506665 NPPES
Illinois MEDICAID 036042217

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