Individual
EMILY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ILLINI DR, PEORIA, IL 61605-2576
(309) 672-4986
Mailing address
806 W STATE ROUTE 122, HOPEDALE, IL 61747-9344
(309) 613-8833
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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