MEDICARE: WILLIAM B. CAMPBELL NP

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN68020	DC
2	363LP2300X	Primary Care Nurse Practitioner	RN68020	DC

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1497723753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM B. CAMPBELL NP

Provider Business Mailing Address
First Line	:	1 EMBARCADERO CTR STE 1900
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-3723
Country	:	US
Telephone Number	:	415-658-6791
Fax Number	:

Provider Business Practice Location Address
First Line	:	7187 WOODMONT AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20815-6208
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	03/17/2025

990 GRAND CANYON PKWY , SUITE 418
HOFFMAN ESTATES, IL
60169-1737

Practice Phone: 331-472-8802
Practice Fax: 331-472-8803