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Contact Information

KAELYN CARROLL, RN, CNM
966 W 21ST ST
CHICAGO, IL60608-4511
 Phone: 773-254-1400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for KAELYN CARROLL · (Female)

NPI # 1003706912
Status Active
Credentials RN, CNM
Entity Individual
Enumeration date 07/03/2025
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 209033074
Hospital affiliation(s) Not Available
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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