Individual
PAUL CARRYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 S VERNON, 1ST FLOOR FLORSHEIM MEDICAL BLDG, CHICAGO, IL 60616
(312) 842-1900
(312) 842-4387
Mailing address
2800 S VERNON, 1ST FLOOR FLORSHEIM MEDICAL BLDG, CHICAGO, IL 60616
(312) 842-1900
(312) 842-4387
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036050421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031601723
BLUE CROSS SHIELD
IL
05
—
036050421
—
IL
Enumeration date
07/28/2006
Last updated
07/08/2007
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