Individual
KEVIN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 CHESTNUT AVE, SUITE A, GLENVIEW, IL 60026-8321
(847) 657-3520
(847) 657-3521
Mailing address
2400 CHESTNUT AVE, SUITE A, GLENVIEW, IL 60026-8321
(847) 657-3520
(847) 657-3521
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070021043
IL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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