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Individual

DR. BRIAN JOHN CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
757 PARK AVE W STE 2800, HIGHLAND PARK, IL 60035
(847) 752-4497
Mailing address
757 PARK AVE W STE 2800, HIGHLAND PARK, IL 60035-2557
(847) 432-1558
(847) 432-6981

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125064529
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
336.107615
IL

Other

Enumeration date
03/28/2014
Last updated
04/01/2021
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