Provider Demographics
NPI:1013294578
Name:PAYTON-CAMPBELL, TONYA N (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:N
Last Name:PAYTON-CAMPBELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 E 71ST ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-2537
Mailing Address - Country:US
Mailing Address - Phone:773-358-4135
Mailing Address - Fax:773-358-4137
Practice Address - Street 1:2351 E 71ST ST STE A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-2537
Practice Address - Country:US
Practice Address - Phone:773-358-4135
Practice Address - Fax:773-358-4137
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051040525183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist