MR. CHARLES DOUGLAS CAMPBELL JR. (NPI# 1740513431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740513431 |
| Entity Type | Individual |
| Full Name | MR. CHARLES DOUGLAS CAMPBELL JR. |
| Practice Address |
2018 217th St Sauk Village IL 60411-4521 |
| Mailing Address |
4743 N Kilbourn Ave Chicago IL 60630-4006 |
| Practice Telephone | 7732831742 |
| Practice Fax Number | 7732831742 |
| Mailing Telephone | 7732831742 |
| Mailing Fax Number | 7732831742 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114259389 | Charles Ladoue Campbell | General Practice | 1457 Woodside Ct S, Chesapeake, VA 23320-2723 | 2010-02-12 |
| 1730205295 | Charles Emery Campbell | Dentist | 2426 Center St, Deer Park, TX 77536-4902 | 2007-03-22 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1730280769 | Charles Edward Campbell IIi | Dentist | 151 W Airport Blvd, Pensacola, FL 32505 | 2006-09-25 |
| 1407967904 | Charles Peter Campbell | Pharmacist | 1606 Woodside Ave, Essexville, MI 48732-1459 | 2006-08-31 |
| 1154395705 | Charles H Campbell | Ophthalmology | 5540 Saratoga Blvd, Suite 200, Corpus Christi, TX 78413-2953 | 2006-02-13 |
| 1114929486 | Charles Whitfield Campbell Jr. | Family Medicine | 86 S Cobb Dr Se, Mail Drop 0454, Marietta, GA 30063-0454 | 2005-06-01 |
| 1578068334 | Charles Frank Campbell | Student in an Organized Health Care Education/Training Program | 800 Rose St # C-246, Lexington, KY 40536-0293 | 2018-03-26 |
| 1952777088 | Charles Wellington Campbell | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2015-08-12 |
| 1437592383 | Charles Robert Campbell Iv | Internal Medicine | 525 E Market St, Akron, OH 44304-1619 | 2013-04-10 |
| Street Address |
2018 217TH ST |
| City | SAUK VILLAGE |
| State | IL |
| Zip Code | 60411-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467919936 | Paula Galmore | Driver | 21646 Clyde Ave, Sauk Village, IL 60411-4446 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033179 | Nakiesha Walton | Driver | 807 Ridge Dr # 520, Dekalb, IL 60115-1385 | 2020-11-06 |
| 1679173025 | Victoria Williams | Driver | 853 N Highland Ave Ste C, Aurora, IL 60506-2218 | 2020-10-27 |
| 1669088175 | Robert D Smith | Driver | 7400 Timbercrest Dr, Godfrey, IL 62035-2894 | 2020-09-20 |
| 1104435551 | Oluwagbenga Afiamoye Ojo | Driver | 6969 N Ashland Blvd Unit 101, Chicago, IL 60626-3354 | 2020-07-30 |
| 1780216622 | David Woods | Driver | 802 Mountaineer Ln Apt C, Marion, IL 62959-4132 | 2020-02-09 |
| 1619508843 | Tywan Thompson | Driver | 1329 Coldspring Rd, Carol Stream, IL 60188-4713 | 2020-01-27 |
| 1437789732 | Ruby Nelson | Driver | 14429 S Emerald Ave, Riverdale, IL 60827-2618 | 2020-01-25 |
| 1861030009 | National Center for Economics | Driver | 300 Read St Ste B, Lockport, IL 60441-3265 | 2019-12-18 |
| 1811530769 | Safeway Transportation Services Corp | Driver | 550 N Green Bay Rd Ste 1, Waukegan, IL 60085-3183 | 2019-10-23 |
| 1912548611 | Best Transportation & Logistics | Driver | 11958 S Paulina St, Calumet Park, IL 60827-5316 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SAUK VILLAGE |
| Zip Code | 60411 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.