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Organization
CAROLYN WHITFIELD, DPM, PC
Active
Organization
CAROLYN WHITFIELD, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN WHITFIELD DPM (PODIATRIST)
(815) 733-5162
Entity
Organization
Contact information
Practice address
16151 WEBER RD, SUITE 107, CREST HILL, IL 60403-0863
(815) 733-5162
(815) 733-5192
Mailing address
1560 SUNCREST LN, BOLINGBROOK, IL 60490-3278
(815) 733-5162
(815) 733-5192
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003971
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060001542
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/05/2007
Last updated
03/10/2009
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