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NPI Code Detail

MEDICARE: ERIN KATHLEEN CAMPBELL PT, DPT

MEDICARE: ERIN KATHLEEN CAMPBELL PT, DPT
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
1225100000XPhysical Therapist070.026757IL

General Provider Information

NPI Number : 1326772054
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN KATHLEEN CAMPBELL PT, DPT
Provider Business Mailing Address
First Line : 1133 N DEARBORN ST APT 1105
Second Line :
City : CHICAGO
State : IL
Zip : 60610-7177
Country : US
Telephone Number : 815-954-0391
Fax Number :
Provider Business Practice Location Address
First Line : 1751 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4086
Country : US
Telephone Number : 773-278-9050
Fax Number : 773-278-8932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2022
Last Update Date : 07/09/2022

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