Cheung-O'Carroll, Wai C.

Cheung-O'Carroll, Wai C. is an individual health care provider with primary practice located at 1445 N Hunt Club Rd Suite 304, Gurnee IL 60031-2603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cheung-O'Carroll, Wai C. can be contacted via phone (847) 855-0100.

Contact Information

Primary practice address
1445 N Hunt Club Rd Suite 304 Gurnee IL 60031-2603
Fax: (847) 855-0101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1295725901
LBN Legal business name Cheung-O'Carroll, Wai C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Feb 20th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295725901 NPPES
Illinois Other 04932117 BLUE CROSS BLUE SHIELD

Popular Providers