Individual
CARRIE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, BLDG 101, ROOM 1752, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-6269
Mailing address
2160 S 1ST AVE, BLDG 101, ROOM 1752, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-6269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036118141
IL
208000000X
Pediatrics Physician
036118141
IL
Other
Enumeration date
05/01/2007
Last updated
09/14/2011
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