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Individual

CAROLYN WHITFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
16151 WEBER RD, SUITE 107, CREST HILL, IL 60403-0863
(815) 733-5162
(815) 733-5192
Mailing address
16151 WEBER RD, SUITE 107, CREST HILL, IL 60403-0863
(815) 733-5162
(815) 733-5192

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003971
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060001542
BCBS
IL
05
016003971
IL
Enumeration date
09/07/2006
Last updated
03/10/2009
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