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Individual

CARLOTTA J HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4319
(866) 600-2273
Mailing address
809 S MARSHFIELD AVE, 9TH FLOOR (M/C 732), CHICAGO, IL 60612-4305
(312) 996-7699
(312) 996-1001

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040111718
BCBS PROVIDER ID
01
0040121067
BCBS PROVIDER ID
01
0040154017
BCBS PROVIDER ID
01
0051647383
BCBS PROVIDER ID
Enumeration date
09/21/2006
Last updated
07/08/2007
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