Individual
MICHAEL DAVID CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125.056520
IL
2085R0202X
Diagnostic Radiology Physician
Primary
M-12823
ID
Other
Enumeration date
06/18/2009
Last updated
01/10/2018
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