MEDICARE: MR. CARL DAVID PFAEHLER II MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	125.087922	IL

General Provider Information

NPI Number	:	1245024397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CARL DAVID PFAEHLER II MD

Provider Business Mailing Address
First Line	:	3249 OAK PARK AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-3429
Country	:	US
Telephone Number	:	708-783-3425
Fax Number	:

Provider Business Practice Location Address
First Line	:	3249 OAK PARK AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-3429
Country	:	US
Telephone Number	:	708-783-3425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2025
Last Update Date	:	06/08/2026

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