Tracy Campbell MD LLC
NPI 1710294756ActiveOrganization· Dermatology· Melrose Park, IL
Dermatology in Melrose Park, Illinois, registered in NPPES in September 2010. The authorized official on file is Tracy Campbell, M.D., Sole Proprietor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710294756 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2010 |
| Last updated in NPPES | Mar 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 036120737 | IL |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 036120737 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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