Individual
CAROL A EXLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 ERICA DR, WAUCONDA, IL 60084-1491
(847) 276-5924
Mailing address
1025 ERICA DR, WAUCONDA, IL 60084-1491
(847) 276-5924
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041344810
IL
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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