MR. Charles Douglas Campbell JR.

NPI #1740513431 in Sauk Village, Illinois

Provider Information

NPI Number: 1740513431
Entity Type: Individual
Name: MR. Charles Douglas Campbell JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Sep 11, 2009
Last Updated: Sep 11, 2009

Practice Location

Address: 2018 217TH ST
City: Sauk Village
State: Illinois
ZIP Code: 60411-4521
Phone: (773) 283-1742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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