Individual
ROBERT CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
909 S WOLCOTT AVE, 5137 COMRB, MC 716, CHICAGO, IL 60612-3725
(312) 355-4198
(312) 996-5103
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036079149
IL
Other
Enumeration date
08/18/2006
Last updated
06/23/2008
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