MEDICARE: CAROLYN M CAMPBELL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker		IL

General Provider Information

NPI Number	:	1245451137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLYN M CAMPBELL PC

Provider Business Mailing Address
First Line	:	684 W IRVING PARK RD
Second Line	:	E8
City	:	CHICAGO
State	:	IL
Zip	:	60613-3159
Country	:	US
Telephone Number	:	773-472-8725
Fax Number	:

Provider Business Practice Location Address
First Line	:	684 W IRVING PARK RD
Second Line	:	E8
City	:	CHICAGO
State	:	IL
Zip	:	60613-3159
Country	:	US
Telephone Number	:	773-472-8725
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLYN M CAMPBELL
Credential	:	MSW,ACSW,BCD,LCSW
Telephone Number	:	773-472-8725

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1285809236 — AUSTIN PRIDE
Practice Location Address:

4925 W DIVISION ST
CHICAGO, IL
60651-3159

Practice Phone: 773-854-5000
Practice Fax:

1164756458 — MRS. MOLLY ANNE CHEATEM
Practice Location Address:

1151 W 15TH ST UNIT 404
CHICAGO, IL
60608-3159

Practice Phone: 773-550-0488
Practice Fax:

1669704326 — ISAAC RAY CENTER AT CERMAK
Practice Location Address:

3159 N SEMINARY #301
CHICAGO, IL
60657

Practice Phone: 248-765-7127
Practice Fax:

1316457542 — RISE THROUGH LEARNING CO.
Practice Location Address:

3159 N SEMINARY AVE APT 307
CHICAGO, IL
60657

Practice Phone: 248-821-9152
Practice Fax:

1851272546 — MICHELLE R SCOTT
Practice Location Address:

3159 W FRANKLIN BLVD
CHICAGO, IL
60612-1039

Practice Phone: 773-531-1799
Practice Fax:

1912877127 — LASPARKLE HOPKINS
Practice Location Address:

4420 W GUADALUPE CIR
EAST CHICAGO, IN
46312-3159

Practice Phone: 773-491-4209
Practice Fax:

Directions to “CAROLYN M CAMPBELL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.