Individual
DR. RICHARD CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 QUAIL RIDGE DR, WESTMONT, IL 60559-6145
(708) 245-8071
Mailing address
410 QUAIL RIDGE DR, WESTMONT, IL 60559-6145
(708) 245-8071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36074896
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074896
—
IL
Enumeration date
05/15/2006
Last updated
12/01/2021
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