# NICHOLAS C CARO MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nicholas Caro, MD, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801076609
- **Authorized official:** DR. NICHOLAS CHARLES CARO MD (PHYSICIAN SURGEON)
- **Authorized official phone:** (773) 685-5606

## Contact information

- **Practice address:** 4151 W PETERSON AVE, CHICAGO, IL 60646-6002
- **Practice address phone:** (773) 685-5606
- **Practice address fax:** (773) 685-6559
- **Mailing address:** 4151 W PETERSON AVE, CHICAGO, IL 60646-6002
- **Mailing address phone:** (773) 685-5606
- **Mailing address fax:** (773) 685-6559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 02/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1617766 | BLUE CROSS BLUE SHIELD | IL |