Individual
SARINE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2160 S 1ST AVE STE 1940, MAYWOOD, IL 60153-3328
(708) 216-6200
(708) 216-6840
Mailing address
210 N WELLS ST APT 2107, CHICAGO, IL 60606-1341
(248) 520-5286
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.087034
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2025
Last updated
06/30/2025
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