# ILONA MARIE CARLOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689709933
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01082896A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 036101641 | IL | — |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 10/08/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01630320 | BCBS | — |
| 05 | — | 036101641 | — | IL |
| 01 | — | 501046 | ADVOCATE | — |