JEROME THOMAS CAMPBELL

GREAT LAKES, IL
NPI1770544835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2006-03-29
Last Update Date2007-07-08
Business Address
Mr. JEROME THOMAS CAMPBELL PA-C
3420 ILLINOIS STREET USS TRANQUILLITY MEDICAL CLINIC
GREAT LAKES, IL 60088-5230
Phone number: 847-680-6175
Mailing Address
Mr. JEROME THOMAS CAMPBELL PA-C
410 NORTH GREEN BAY ROAD APARTMENT #1015
WAUKEGAN, IL 60085
Phone number: 847-336-4228