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NPI Code Detail

MEDICARE: ROSEMARY CARROLL M.D.

MEDICARE: ROSEMARY CARROLL M.D.
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
1207RH0003XHematology & Oncology PhysicianIL

General Provider Information

NPI Number : 1285669689
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY CARROLL M.D.
Provider Business Mailing Address
First Line : 2311 W 22ND ST
Second Line : SUITE 202
City : OAK BROOK
State : IL
Zip : 60523-1225
Country : US
Telephone Number : 630-320-1160
Fax Number :
Provider Business Practice Location Address
First Line : 9831 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1791
Country : US
Telephone Number : 773-445-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

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