person
Dr. Carol Witcraft Booth, MD
Clinical Genetics (M.D.) Physician in Park Ridge, Illinois
NPI 1225072598

Carol Witcraft Booth is a Clinical Genetics (M.D.) Physician based in Park Ridge, IL and is specialized in Clinical Genetics (M.D.). Carol Witcraft Booth practices in Park Ridge, IL and has the professional credentials of MD. The NPI Number for Carol Witcraft Booth is 1225072598 and holds a License No. 036042710 (Illinois).

The current practice location address for Carol Witcraft Booth is 1875 Dempster St, Park Ridge, IL and can be reached out via phone at 847-723-7705 and via fax at 847-723-8675.

Location: 1875 Dempster St, Park Ridge, IL, 60068-1186
person
Provider Profile Details
NPI Number
1225072598
Provider Name
Carol Witcraft Booth
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1875 Dempster St, Park Ridge, IL, 60068-1186
Phone Number
847-723-7705
Fax Number
847-723-8675
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
460002585 01 RR MED PIN
036042710 05 IL
C19354 01 RR MED GROUP
institution
Provider Business Practice Location Address Details
Address
1875 Dempster St
City
State
Zip
60068-1186
Phone Number
847-723-7705
Fax Number
847-723-8675
person
Provider Business Mailing Address Details
Address
1875 Dempster St
City
State
Zip
60068-1186
Phone Number
847-723-7705
Fax Number
847-723-8675
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
License No.
036042710 (Illinois)
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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