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Individual

MICHAEL CARZOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
(815) 381-7498
Mailing address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
(815) 381-7498

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
211000251
IL

Other

Enumeration date
08/25/2025
Last updated
08/25/2025
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