Carroll, James R
Carroll, James R is an individual health care provider with primary practice located at 25 N Winfield Rd Ste 300, Winfield IL 60190. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Carroll, James R can be contacted via phone (630) 933-8100.Contact Information
Primary practice address
25 N Winfield Rd Ste 300
Winfield IL 60190
Phone: (630) 933-8100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036092734 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036092734 | Illinois |
Profile Details
| NPI number | 1841272432 |
|---|---|
| LBN Legal business name | Carroll, James R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jun 6th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841272432 | NPPES |
| Illinois | MEDICAID | 036092734 |
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