Individual
DR. CARLE E ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1919 LAKE AVE A, WILMETTE, IL 60091-1422
(847) 256-3338
(847) 256-4437
Mailing address
1919 LAKE AVE, SUITE A, WILMETTE, IL 60091-1422
(847) 256-4434
(847) 256-4437
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016002846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016002846
—
IL
01
—
60020930
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/09/2006
Last updated
08/12/2016
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