DR. WILLIAM CAMPBELL LTD. NPI 1083860522

NPI Information

NPI: 1083860522
Provider Name: DR. WILLIAM CAMPBELL, LTD.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4403 W LAWRENCE AVE
SUITE : 200
CHICAGO, IL
ZIP 60630
Phone: (773) 736-1555
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DR. WILLIAM CAMPBELL, LTD. is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DR. WILLIAM CAMPBELL, LTD. NPI is 1083860522. The provider is registered as an organization entity type.

The provider's business location address is:

4403 W LAWRENCE AVE
SUITE : 200
CHICAGO, IL
ZIP 60630-513
Phone: (773) 736-1555
Fax: (773) 736-1552

The provider's authorized official is William C Campbell .
The authorized official title is C.e.o. and has the following contact phone number (773) 736-1555.

The enumeration date for this NPI number is 8/15/2008 and was last updated on 8/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FC0619328	OTHER	ILLINOIS	DEA
2	036119743	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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