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Charles Wellington Campbell

Nurse Anesthetist, Certified Registered in Maywood, IL. Individual provider (NPI-1).

NPI number1952777088
StatusActive
Last updated in NPPESApr 1, 2021

Details

NPI
1952777088
Entity type
Individual (NPI-1)
Name
Charles Wellington Campbell
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 12, 2015
Certification date
Apr 1, 2021
Last updated
Apr 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered209013460ILYes

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Phone 888-584-7888

Mailing address

2160 S 1st Ave
Building 112, Rm 155
Maywood, IL 60153-3328

Phone 708-216-5901 · Fax 708-216-9228

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Other Certified Registered Nurse Anesthetist providers in Maywood, IL

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