Organization Name: | OCARROLL& ASSOCIATES LLC |
NPI Number: | 1174741722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL T O'CARROLL (OWNER) |
Mailing Address: | 22w654 Butterfield Rd Glen Ellyn |
State: | IL US |
Postal Code: | 601376957 |
Phone Number: | 6307904442 |
Fax Number: | 6307909472 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 016-003265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |