TRACY CAMPBELL MD LLC NPI 1710294756

NPI Information

  • NPI: 1710294756
  • Provider Name: TRACY CAMPBELL MD LLC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Address: 675 W NORTH AVE STE 506
    MELROSE PARK, IL
    ZIP 60160
  • Phone: (708) 450-5086

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NPI Details

TRACY CAMPBELL MD LLC is a dermatology in Melrose Park, IL. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. TRACY CAMPBELL MD LLC NPI is 1710294756. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

675 W NORTH AVE STE 506
MELROSE PARK, IL
ZIP 60160-626
Phone: (708) 450-5086
Fax: (708) 345-4075

The provider's authorized official is Tracy Campbell .
The authorized official title is Sole Proprietor and has the following contact phone number (708) 450-5086.

The enumeration date for this NPI number is 9/13/2010 and was last updated on 3/4/2011.

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
1207ND0101XDermatologyMOHS-Micrographic Surgery036120737ILLINOISNo
2207N00000XDermatology036120737ILLINOISYes

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This page was last updated on: 11/21/2025

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