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Elaine Marie Carroll, MD
Obstetrics & Gynecology Physician in Pontiac, Illinois
NPI 1598739492

Elaine Marie Carroll is a Obstetrics & Gynecology Physician based in Urbana, IL. Elaine Marie Carroll practices in Pontiac, IL and has the professional credentials of MD. The NPI Number for Elaine Marie Carroll is 1598739492 and holds a License No. 01076901A (Illinois).

The current practice location address for Elaine Marie Carroll is 1508 W Reynolds St, Pontiac, IL and can be reached out via phone at 815-844-4611.

Location: 1508 W Reynolds St, Pontiac, IL, 61801-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598739492
Provider Name
Elaine Marie Carroll
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1508 W Reynolds St, Pontiac, IL, 61801-2529
Phone Number
815-844-4611
Fax Number
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
206147 01 IL MEDICARE PTAN (GROUP)
036085505 05 IL
206147098 01 IL MEDICARE PTAN (INDIVIDUAL)
181980007 01 IN MEDICARE PTAN
200265610 05 IN
institution
Provider Business Practice Location Address Details
Address
1508 W Reynolds St
City
Pontiac
State
Illinois
Zip
61764-2811
Phone Number
815-844-4611
Fax Number
person
Provider Business Mailing Address Details
Address
1508 W Reynolds St
City
Pontiac
State
Illinois
Zip
61764-2811
Phone Number
815-844-4611
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036085505 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Maternal & Fetal Medicine
Taxonomy
207VM0101X
License No.
01076901A (Indiana)
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
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