Provider Demographics
NPI:1215040654
Name:CAMPBELL, MAIBRITT (MD)
Entity Type:Individual
Prefix:DR
First Name:MAIBRITT
Middle Name:
Last Name:CAMPBELL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:836 W WELLINGTON AVE
Mailing Address - Street 2:DEPARTMENT OF DIAGNOSTIC RADIOLOGY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5147
Mailing Address - Country:US
Mailing Address - Phone:773-296-7820
Mailing Address - Fax:773-296-7821
Practice Address - Street 1:836 W WELLINGTON AVE
Practice Address - Street 2:DEPARTMENT OF DIAGNOSTIC RADIOLOGY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5147
Practice Address - Country:US
Practice Address - Phone:773-296-7820
Practice Address - Fax:773-296-7821
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2021-12-27
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Provider Licenses
StateLicense IDTaxonomies
IL361187372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology