Individual
JAMES R CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD, STE 300, WINFIELD, IL 60190
(630) 933-8100
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036092734
IL
207RI0011X
Interventional Cardiology Physician
036092734
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092734
—
IL
Enumeration date
11/18/2005
Last updated
06/06/2024
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