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Carson Powell, MD
Surgery Physician in Maywood, Illinois
NPI 1629773460

Carson Powell is a Surgery Physician based in Syracuse, IL. Carson Powell practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Carson Powell is 1629773460 and holds a License No. (Illinois).

The current practice location address for Carson Powell is 2160 S 1St Ave # 60153, Maywood, IL and can be reached out via phone at 788-488-8584.

Location: 2160 S 1St Ave # 60153, Maywood, IL, 46567-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629773460
Provider Name
Carson Powell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave # 60153, Maywood, IL, 46567-2140
Phone Number
788-488-8584
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave # 60153
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
788-488-8584
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave # 60153
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
788-488-8584
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
125.082700 (Illinois)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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