DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEROME THOMAS CAMPBELL II, PA-C

Active

MR. JEROME THOMAS CAMPBELL II, PA-C is a Medical Physician Assistant healthcare provider located in GREAT LAKES, Illinois. NPI 1770544835 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · GREAT LAKES, IL

Registration Details

NPI Number
1770544835
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2006 (20.416538219067 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
3420 ILLINOIS STREET
USS TRANQUILLITY MEDICAL CLINIC
GREAT LAKES, IL, 600885230
Browse IL providers · Browse ZIP 60088
Phone
8476806175
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in GREAT LAKES, IL

Name Credential NPI
MR. WARREN K KENNEDY PA-C 1083898290
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.