Individual
META CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-1602
Mailing address
225 E CHICAGO AVE # 62, CHICAGO, IL 60611-2991
(312) 227-6080
(312) 227-9475
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD26082
OR
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
MD00045233
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213677
—
OR
05
—
8431017
—
WA
Enumeration date
07/27/2006
Last updated
05/04/2022
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