Individual
CAROL A CARLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1504 ESSINGTON RD STE B, JOLIET, IL 60435
(630) 967-2000
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-1216
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-007697
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS OF IL
1619980
IL
Enumeration date
01/06/2006
Last updated
06/16/2022
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