Provider Demographics
NPI:1477665230
Name:DANILO V DEL CAMPO MDSC
Entity Type:Organization
Organization Name:DANILO V DEL CAMPO MDSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANILO
Authorized Official - Middle Name:VICENTE
Authorized Official - Last Name:DEL CAMPO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-286-8111
Mailing Address - Street 1:5440 W BELMONT
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4126
Mailing Address - Country:US
Mailing Address - Phone:773-286-8111
Mailing Address - Fax:773-286-9213
Practice Address - Street 1:5440 W BELMONT
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4126
Practice Address - Country:US
Practice Address - Phone:773-286-8111
Practice Address - Fax:773-286-9213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
208389Medicare ID - Type UnspecifiedGROUP