person
Dr. Daniel Thomas O Carroll, DPM,DABPS
Foot & Ankle Surgery Podiatrist in Glen Ellyn, Illinois
NPI 1437142858

Daniel Thomas O Carroll is a Foot & Ankle Surgery Podiatrist based in Wheaton, IL and is specialized in Foot & Ankle Surgery. Daniel Thomas O Carroll practices in Glen Ellyn, IL and has the professional credentials of DPM,DABPS. The NPI Number for Daniel Thomas O Carroll is 1437142858 and holds a License No. 016-003265 (Illinois).

The current practice location address for Daniel Thomas O Carroll is 22W654 Butterfield Rd, Glen Ellyn, IL and can be reached out via phone at 630-790-4442 and via fax at 630-790-9472.

Location: 22W654 Butterfield Rd, Glen Ellyn, IL, 60189-4497
person
Provider Profile Details
NPI Number
1437142858
Provider Name
Daniel Thomas O Carroll
Credential
DPM,DABPS
Provider Entity Type
Individual
Gender
Male
Address
22W654 Butterfield Rd, Glen Ellyn, IL, 60189-4497
Phone Number
630-790-4442
Fax Number
630-790-9472
Provider Enumeration Date
08/31/2005
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
626570 01 IL MEDICARE PTAN
016003265 05 IL
institution
Provider Business Practice Location Address Details
Address
22W654 Butterfield Rd
City
State
Zip
60137-6957
Phone Number
630-790-4442
Fax Number
630-790-9472
person
Provider Business Mailing Address Details
Address
22W654 Butterfield Rd
City
State
Zip
60137-6957
Phone Number
630-790-4442
Fax Number
630-790-9472
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
016-003265 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016-003265 (Illinois)
Definition
Definition to come...
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