MEDICARE: DANILO V DEL CAMPO MDSC

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	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1477665230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANILO V DEL CAMPO MDSC

Provider Business Mailing Address
First Line	:	5440 W BELMONT
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4126
Country	:	US
Telephone Number	:	773-286-8111
Fax Number	:	773-286-9213

Provider Business Practice Location Address
First Line	:	5440 W BELMONT
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4126
Country	:	US
Telephone Number	:	773-286-8111
Fax Number	:	773-286-9213

Authorized Official
Title or Position	:	PHYSICIAN PRESIDENT
Name	:	MR. DANILO VICENTE DEL CAMPO
Credential	:	MD
Telephone Number	:	773-286-8111

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

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