Organization
OCARROLL& ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T O'CARROLL D.P.M., D.A.B.P.S. (OWNER)
(630) 790-4442
Entity
Organization
Contact information
Practice address
22W654 BUTTERFIELD RD, GLEN ELLYN, IL 60137-6957
(630) 790-4442
(630) 790-9472
Mailing address
PO BOX 4497, WHEATON, IL 60189-4497
(630) 790-4442
(630) 790-9472
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-003265
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003265
—
IL
Enumeration date
04/20/2007
Last updated
06/10/2024
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