Individual
CARLYN NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 W 203RD ST STE 202, OLYMPIA FIELDS, IL 60461-1185
(708) 852-2699
(708) 679-2223
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
209025274
IL
364SG0600X
Gerontology Clinical Nurse Specialist
041388238
IL
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
209025274
IL
Other
Enumeration date
08/19/2022
Last updated
11/03/2022
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