Carlock, Kurtis David
Carlock, Kurtis David is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400 , Chicago IL 60612-4861. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Carlock, Kurtis David can be contacted via phone (877) 632-6637.Contact Information
Primary practice address
1611 W Harrison St Ste 400
Chicago IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 01093197A | Indiana |
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 036169088 | Illinois |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036169088 | Illinois |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01093197A | Indiana |
Profile Details
NPI number | 1245791458 |
---|---|
LBN Legal business name | Carlock, Kurtis David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2019 |
Last updated | Jun 24th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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