Carroll, Mary K

Carroll, Mary K is an sole proprietor health care provider with primary practice located at 10951 S Campbell Ave , Chicago IL 60655-1210. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Carroll, Mary K can be contacted via phone (773) 269-8700.

Contact Information

Primary practice address
10951 S Campbell Ave Chicago IL 60655-1210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1831943661
LBN Legal business name Carroll, Mary K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2024
Last updated Apr 17th, 2024 - about 8 months ago

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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