TRACY CAMPBELL MD LLC
NPI 1710294756
Dermatology in Melrose Park, IL

Active since September 13, 2010
675 W NORTH AVE STE 506, MELROSE PARK, IL 60160(708) 450-5086(708) 345-4075 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tracy Campbell Md Llc NPPES

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

TRACY CAMPBELL MD LLC (NPI 1710294756) is a healthcare organization registered as a dermatology in Melrose Park, Illinois and active in the NPI registry since September 2010. The organization lists Tracy Campbell, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1710294756
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTRACY CAMPBELL MD LLC
Location Address675 W NORTH AVE STE 506Melrose Park, IL 60160-1626
Mailing Address675 W North Ave Ste 506Melrose Park, IL 60160-1626 · (708) 450-5086 · Fax (708) 345-4075
Fax(708) 345-4075
Organization SubpartNo
Authorized OfficialTracy CampbellSole Proprietor · (708) 450-5086
Enumeration DateSeptember 13, 2010
Last NPPES UpdateMarch 4, 2011
✔ NPI 1710294756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036120737
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 036120737 (IL)
675 W NORTH AVE STE 506, Melrose Park, IL 60160

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tracy Campbell MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Micrographic Dermatologic Surgery (MDS)
NPI 1598921249
501 W NORTH AVE STE 103
Melrose Park, IL 60160
(708) 450-5086
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tracy Campbell MD LLC's NPI number?

The NPI number for Tracy Campbell MD LLC is 1710294756. It was assigned to this organization in the NPPES registry on September 13, 2010.

Where is Tracy Campbell MD LLC located?

Tracy Campbell MD LLC is located at 675 W North Ave Ste 506, Melrose Park, IL 60160. The listed phone number is (708) 450-5086.

What is Tracy Campbell MD LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Tracy Campbell MD LLC enrolled in Medicare?

Yes. Tracy Campbell MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tracy Campbell MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Micrographic Dermatologic Surgery (MDS)) reassigns their Medicare billing to Tracy Campbell MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Campbell MD LLC was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.