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NPI Code Detail

MEDICARE: ELMER A CARASIG MD

MEDICARE: ELMER A CARASIG 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
1207R00000XInternal Medicine Physician036051599IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871570960
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELMER A CARASIG MD
Provider Business Mailing Address
First Line : 2222 W DIVISION ST
Second Line : STE 300
City : CHICAGO
State : IL
Zip : 60622-2990
Country : US
Telephone Number : 773-486-3537
Fax Number : 773-486-5224
Provider Business Practice Location Address
First Line : 2222 W DIVISION ST
Second Line : STE 300
City : CHICAGO
State : IL
Zip : 60622-2990
Country : US
Telephone Number : 773-486-3537
Fax Number : 773-486-5224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 08/20/2009

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Directions to “ ELMER A CARASIG MD” Practice Location

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