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Contact Information

THOMAS F CARABALLO, DO
1325 N HIGHLAND AVE
AURORA, IL60506
 Phone: 630-859-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for THOMAS F CARABALLO · (Male)

NPI # 1558751560
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/28/2015
Last updated 07/18/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.145719
Hospital affiliation(s)
  • PROVENA MERCY MEDICAL CENTER - (Acute Care)
    1325 N HIGHLAND AVENUE
    AURORA, IL 60506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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