Organization
CAROL STREAM MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANELE SMITH (MANAGER)
(239) 260-0530
Entity
Organization
Contact information
Practice address
270 W ARMY TRAIL RD, CAROL STREAM, IL 60188
(630) 517-5674
Mailing address
270 W ARMY TRAIL ROAD, CAROL STREAM, IL 60188-9368
(630) 246-7250
(630) 332-3004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
08/27/2024
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