Individual
JAMES CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6201 W 95TH ST, OAK LAWN, IL 60453-2701
(708) 636-9393
(708) 636-2022
Mailing address
1405 WALNUT AVE, MENDOTA, IL 61342-9005
(815) 910-5570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011892
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/17/2024
Last updated
01/06/2026
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