Organization
GLORIA CARUSO M.D.P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA JEAN CARUSO M.D. (OWNER)
(630) 894-1445
Entity
Organization
Contact information
Practice address
473 W ARMY TRAIL RD STE 105, BLOOMINGDALE, IL 60108-2674
(630) 894-1445
Mailing address
473 W ARMY TRAIL RD STE 105, BLOOMINGDALE, IL 60108-2674
(630) 894-1445
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201675
BCBS
IL
Enumeration date
02/23/2007
Last updated
10/10/2007
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