Individual
DAVID CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2113 HAGEN LN, FLOSSMOOR, IL 60422-1617
(708) 957-2531
Mailing address
2113 HAGEN LN, FLOSSMOOR, IL 60422-1617
(708) 957-2531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070004045
IL
Other
Enumeration date
10/04/2015
Last updated
10/04/2015
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