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NPI Code Detail

MEDICARE: DR. KENDAL PAIGE CARROW MD, PHD

MEDICARE: DR. KENDAL PAIGE CARROW MD, PHD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598248700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENDAL PAIGE CARROW MD, PHD
Provider Business Mailing Address
First Line : 7435 W TALCOTT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3707
Country : US
Telephone Number : 773-990-5144
Fax Number :
Provider Business Practice Location Address
First Line : 7435 W TALCOTT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3707
Country : US
Telephone Number : 773-990-5144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 04/09/2026

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