Individual
DR. IMELDA S CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FAAP
Contact information
Practice address
511 THORNHILL DR, SUITE F, CAROL STREAM, IL 60188
(630) 462-7330
(630) 462-7385
Mailing address
511 THORNHILL DR, SUITE F, CAROL STREAM, IL 60188
(630) 462-7330
(630) 462-7385
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036061984
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061984
—
IL
Enumeration date
10/12/2006
Last updated
10/26/2012
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