Individual provider · Type 1 NPI

Jerome Thomas Campbell Ii, PA-C

Medical Physician Assistant · Great Lakes, IL

NPI number 1770544835 Active

Practice location

3420 Illinois Street, Uss Tranquillity Medical Clinic
Great Lakes, IL 60088-5230

Mailing address

410 North Green Bay Road, Apartment #1015
Waukegan, IL 60085

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1770544835

Jerome Thomas Campbell Ii, PA-C's National Provider Identifier is 1770544835, issued on Mar 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 13, 2026.