Healthcare Provider Details

I. General information

NPI: 1609163666
Provider Name (Legal Business Name): CHRISTOPHER JAMES CAMPBELL PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 11/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E SUPERIOR ST
CHICAGO IL
60611-2913
US

IV. Provider business mailing address

235 W VAN BUREN ST UNIT 1819
CHICAGO IL
60607-3933
US

V. Phone/Fax

Practice location:
  • Phone: 847-638-3356
  • Fax:
Mailing address:
  • Phone: 847-638-3356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number051298881
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number66590
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number049.171105
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number27629
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: