National Provider Identifier Database

CAROL STREAM MEDICAL PLLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

CAROL STREAM MEDICAL PLLC
270 W ARMY TRAIL RD
CAROL STREAM, IL60188
Phone: 630-517-5674
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for CAROL STREAM MEDICAL PLLC

NPI Number 1851173330
Legal business name
LBN
CAROL STREAM MEDICAL PLLC
Authorized official CHANELE SMITH - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/18/2023
Last updated 08/27/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for CAROL STREAM MEDICAL PLLC

There are currently no reviews for CAROL STREAM MEDICAL PLLC


NPIdb - Home
v2.201