MEDICARE: DR. FRANCO CAMPANELLA D.O.

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	2084N0400X	Neurology Physician	036104614	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1609886332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCO CAMPANELLA D.O.

Provider Business Mailing Address
First Line	:	1000 CENTRAL ST STE 800
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1780
Country	:	US
Telephone Number	:	847-570-2750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 CENTRAL ST STE 800
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1780
Country	:	US
Telephone Number	:	847-570-2750
Fax Number	:

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	04/07/2021

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Directions to “ DR. FRANCO CAMPANELLA D.O.” Practice Location

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