Vancol, Carl

Vancol, Carl is an individual health care provider with primary practice located at 45 W 111Th St Suite 304, Chicago IL 60628-4200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Vancol, Carl can be contacted via phone (773) 995-3463.

Contact Information

Primary practice address
45 W 111Th St Suite 304 Chicago IL 60628-4200
Phone: (773) 995-3463
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036098516 Illinois
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 036098516 Illinois
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 036098516 Illinois

Profile Details

NPI number 1245222454
LBN Legal business name Vancol, Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245222454 NPPES
Illinois MEDICAID 036098516
Illinois Other 1625687
Illinois Other 0001633398
Illinois Other 080193944

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