Individual
DR. THOMAS CARL CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
467 W ERIE ST, CHICAGO, IL 60654-5704
(312) 337-9900
(312) 337-9902
Mailing address
467 W ERIE ST, CHICAGO, IL 60654-5704
(312) 337-9900
(312) 337-9902
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004401
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004401
—
IL
01
—
60010789
BCBS
IL
Enumeration date
09/13/2005
Last updated
02/12/2013
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