OCARROLL& ASSOCIATES LLC NPI 1174741722

NPI Information

NPI: 1174741722
Provider Name: OCARROLL& ASSOCIATES LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
22W654 BUTTERFIELD RD
GLEN ELLYN, IL
ZIP 60137
Phone: (630) 790-4442
Get Directions

OCARROLL& ASSOCIATES LLC is a foot and ankle surgery podiatrist in Glen Ellyn, IL. OCARROLL& ASSOCIATES LLC NPI is 1174741722. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22W654 BUTTERFIELD RD
GLEN ELLYN, IL
ZIP 60137-957
Phone: (630) 790-4442
Fax: (630) 790-9472

The provider's authorized official is Daniel T O'carroll .
The authorized official title is Owner and has the following contact phone number (630) 790-4442.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016-003265	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	626570	MEDICARE PIN	ILLINOIS
2	T36984	MEDICARE UPIN	ILLINOIS
3	016003265	MEDICAID	ILLINOIS
4	1145580001	MEDICARE NSC	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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