MR. Jerome Thomas Campbell II, PA-C
NPI #1770544835 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1770544835
- Entity Type
- Individual
- Name
- MR. Jerome Thomas Campbell II, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Mar 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3420 ILLINOIS STREET
- Address 2
- USS TRANQUILLITY MEDICAL CLINIC
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-5230
- Phone
- (847) 680-6175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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