Organization Active NPI

Adalberto Campo MD SC

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1649477688
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036064958 Issued in IL
Legal business name
ADALBERTO CAMPO MD SC
Practice address
1431 N Western Ave
#506
Chicago, IL 60622
Phone
(773) 645-1000
Fax
(773) 645-1069
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adalberto Campo, MD SC
Title
President
Phone
(773) 645-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036064958 IL
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 036064958 IL Primary

Addresses

Primary practice location

1431 N Western Ave
#506
Chicago, IL 60622

Mailing address

1431 N Western Ave
#506
Chicago, IL 60622
Phone (773) 645-1000

Other identifiers 2

IdentifierTypeStateIssuer
036064958MedicaidIL
31602366OtherBLUE CROSS BLUE SHIELD IL

National Provider Directory

National Provider Directory

Locations

1431 N Western Ave
Ste 506
Chicago, IL 60622
Phone (773) 645-1000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649477688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "#506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-645-1000",
            "fax_number": "773-645-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "#506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-645-1000",
            "fax_number": "773-645-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADALBERTO CAMPO MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "ADALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-645-1000",
        "authorized_official_credential": "MD SC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036064958",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036064958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064958",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "31602366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.