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
ZIP Code
60088-5230
Phone
(847) 680-6175

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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