Individual
PRISCILLA MEDEIROS CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 PENNSYLVANIA AVE STE 210, GLEN ELLYN, IL 60137-4464
(630) 469-7700
(630) 545-7851
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036142791
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2014
Last updated
08/04/2023
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