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NPI Code Detail

MEDICARE: SALLY ANN CAMPBELL-LEE M.D.

MEDICARE: SALLY ANN CAMPBELL-LEE M.D.
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
1207ZP0105XClinical Pathology/Laboratory Medicine Physician036117084IL
2207ZB0001XBlood Banking & Transfusion Medicine Physician036117084IL
3207ZC0006XClinical Pathology Physician036-117084IL

Other Identifiers

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

General Provider Information

NPI Number : 1669430773
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY ANN CAMPBELL-LEE M.D.
Provider Business Mailing Address
First Line : 840 S WOOD ST
Second Line : MC 847 ROOM 130 CSN UIC DEPT OF PATHOLOGY
City : CHICAGO
State : IL
Zip : 60612-4325
Country : US
Telephone Number : 312-996-1350
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line : UNIVERSITY OF ILLINOIS AT CHICAGO HOSPITAL ROOM 3138
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 312-996-1350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 07/14/2020

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