Carlos, Imelda S

Carlos, Imelda S is an individual health care provider with primary practice located at 511 Thornhill Dr Suite F, Carol Stream IL 60188. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carlos, Imelda S can be contacted via phone (630) 462-7330.

Contact Information

Primary practice address
511 Thornhill Dr Suite F Carol Stream IL 60188
Phone: (630) 462-7330
Fax: (630) 462-7385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036061984 Illinois

Profile Details

NPI number 1699864124
LBN Legal business name Carlos, Imelda S
Credentials MD FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699864124 NPPES
Illinois MEDICAID 036061984

Popular Providers