| Dr. Joseph Campobasso, P.c. | |
|
2425 E Division St, Diamond, IL 60416-9760 | |
| (815) 634-0755 | |
| Not Available |
| Full Name | Dr. Joseph Campobasso, P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2425 E Division St, Diamond, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528260742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Joseph Michael Campobasso |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205986510 PECOS PAC ID: 8224117122 Enrollment ID: I20080505000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Joseph Campobasso, P.c. 1816 Arbor Gate Dr, Plainfield, IL 60586-5734 Ph: (815) 254-8222 | Dr. Joseph Campobasso, P.c. 2425 E Division St, Diamond, IL 60416-9760 Ph: (815) 634-0755 |
Dr. Joseph Michael Campobasso, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2425 E Division St, Diamond, IL 60416 Phone: 815-634-0755 Fax: 815-634-0756 | |
Diamond Medical And Therapy Group, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1380 E Division St, Diamond, IL 60416 Phone: 815-634-0757 |