Individual
JOSEPH NEMOURS CARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6415 N CALIFORNIA AVE, CHICAGO, IL 60645-5208
(773) 262-5400
(773) 743-0136
Mailing address
6415 N CALIFORNIA AVE, CHICAGO, IL 60645-5208
(773) 262-5400
(773) 743-0136
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36-065253
IL
2085R0204X
Vascular & Interventional Radiology Physician
36-065253
IL
2085U0001X
Diagnostic Ultrasound Physician
36-065253
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621175
BC/BS
IL
05
—
036065253
—
IL
01
—
630001349
RR MEDICARE
IL
Enumeration date
08/11/2005
Last updated
03/27/2013
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