Individual
CALVIN B TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14124 GLENWOOD CT, LIBERTYVILLE, IL 60048-1591
(847) 918-8863
(847) 918-8864
Mailing address
14124 GLENWOOD CT, LIBERTYVILLE, IL 60048-1591
(847) 918-8863
(847) 918-8864
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
36093355
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36093355
—
IL
Enumeration date
12/22/2005
Last updated
12/29/2011
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