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Carl Vancol, MD
Adult Medicine Physician in Chicago, Illinois
NPI 1245222454

Carl Vancol is an Adult Medicine Physician based in Chicago, IL and is specialized in Adult Medicine. Carl Vancol practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Carl Vancol is 1245222454 and holds a License No. 036098516 (Illinois).

The current practice location address for Carl Vancol is 45 W 111Th St, Chicago, IL and can be reached out via phone at 773-995-3463.

Location: 45 W 111Th St, Chicago, IL, 60617-2422
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Provider Profile Details
NPI Number
1245222454
Provider Name
Carl Vancol
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
45 W 111Th St, Chicago, IL, 60617-2422
Phone Number
773-995-3463
Fax Number
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036098516 05 IL
1625687 01 IL BCBS ILLINOIS
0001633398 01 IL BLUE CROSS BLUE SHIELD
080193944 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
45 W 111Th St
City
State
Zip
60628-4200
Phone Number
773-995-3463
Fax Number
person
Provider Business Mailing Address Details
Address
45 W 111Th St
City
State
Zip
60628-4200
Phone Number
773-995-3463
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036098516 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
License No.
036098516 (Illinois)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
036098516 (Illinois)
Definition
Definition to come.
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