Healthcare Provider Details

I. General information

NPI: 1255348116
Provider Name (Legal Business Name): CAROLINE MULHALL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARIE MULHALL D.C.

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9025 NASHVILLE AVE
OAK LAWN IL
60453-1458
US

IV. Provider business mailing address

9025 NASHVILLE AVE
OAK LAWN IL
60453-1458
US

V. Phone/Fax

Practice location:
  • Phone: 708-598-9003
  • Fax: 708-598-9004
Mailing address:
  • Phone: 708-598-9003
  • Fax: 708-598-9004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: