Provider Demographics
NPI:1174842934
Name:CAMPIONE, JOHN C (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:CAMPIONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2S631 ROUTE 59
Mailing Address - Street 2:SUITE C
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-1464
Mailing Address - Country:US
Mailing Address - Phone:630-393-0800
Mailing Address - Fax:630-393-3880
Practice Address - Street 1:2S631 ROUTE 59
Practice Address - Street 2:SUITE C
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-1464
Practice Address - Country:US
Practice Address - Phone:630-393-0800
Practice Address - Fax:630-393-3880
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011687111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor