Individual
MAUREEN H. CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1875 DEMPSTER ST, SUITE 360, PARK RIDGE, IL 60068-1186
(847) 825-7030
(847) 825-7047
Mailing address
1875 DEMPSTER ST, SUITE 360, PARK RIDGE, IL 60068-1186
(847) 825-7030
(847) 825-7047
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-075278
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075278
—
IL
Enumeration date
07/05/2005
Last updated
09/18/2013
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