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PETER CAMPBELL MD
NPI 1366295644
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 08, 2024PECOS Enrolled
5841 S MARYLAND AVE # MC4028, CHICAGO, IL 60637(773) 702-6700 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter Campbell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER CAMPBELL MD (NPI 1366295644) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366295644
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER CAMPBELLCredential: MD
Location Address5841 S MARYLAND AVE # MC4028Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-6700
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1366295644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5841 S MARYLAND AVE # MC4028, Chicago, IL 60637
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Campbell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORY S BOND
Anesthesiology
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637
Cook County (773) 702-6842
JOHN SUN MD
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637
Cook County (773) 702-6842
KISHAN H PATEL MD
Anesthesiology
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637
Cook County (773) 702-6842
JOHN CHARLES WOLF MD
Anesthesiology
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637
Cook County (773) 702-6842
RAVEN WRIGHT MD
Anesthesiology
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637
Cook County (773) 702-6842
DHAVAN NILESH SHAH MD
Anesthesiology
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637
Cook County (773) 702-6842
THOMAS A BIELAWIEC MD
Anesthesiology
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637
Cook County (773) 702-6842
MAX TUCKER ACKERMAN BS
Anesthesiology
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637
Cook County (773) 702-6842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Campbell's NPI number?

The NPI number for Peter Campbell is 1366295644. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Peter Campbell located?

Peter Campbell practices at 5841 S Maryland Ave # Mc4028, Chicago, IL 60637. The listed phone number is (773) 702-6700.

What is Peter Campbell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Peter Campbell enrolled in Medicare?

Yes. Peter Campbell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Campbell was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.