Healthcare Provider Details

I. General information

NPI: 1497673156
Provider Name (Legal Business Name): CLAIRE CAMPBELL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 E BRUSH HILL RD
ELMHURST IL
60126-5658
US

IV. Provider business mailing address

2239 N FREMONT ST APT 2F
CHICAGO IL
60614-3640
US

V. Phone/Fax

Practice location:
  • Phone: 331-221-1000
  • Fax:
Mailing address:
  • Phone: 847-372-6882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberTBD
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: