Individual
CARLOS PIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3821 ELMWOOD AVE, BERWYN, IL 60402-4041
(708) 363-0785
Mailing address
3821 ELMWOOD AVE, BERWYN, IL 60402-4041
(708) 363-0785
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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