Individual
DR. NICHOLAS CHARLES CARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4151 W PETERSON AVE, CHICAGO, IL 60646-6002
(773) 685-5606
(773) 685-6559
Mailing address
4151 W PETERSON AVE, CHICAGO, IL 60646-6002
(773) 685-5606
(773) 685-6559
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-061321
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617766
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/04/2007
Last updated
02/21/2013
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