Carroll, Richard
Carroll, Richard is an individual health care provider with primary practice located at 410 Quail Ridge Dr , Westmont IL 60559-6145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Carroll, Richard can be contacted via phone (708) 245-8071.Contact Information
Primary practice address
410 Quail Ridge Dr
Westmont IL 60559-6145
Phone: (708) 245-8071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36074896 | Illinois |
Profile Details
| NPI number | 1932150711 |
|---|---|
| LBN Legal business name | Carroll, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Dec 1st, 2021 - about 3 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932150711 | NPPES |
| Illinois | MEDICAID | 036074896 |
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