Search › Illinois › 363L00000X
Phillip Carr
NPI 1538813936 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1408 S 10th Ave
Maywood, IL 60153 - Phone
- (630) 999-1143
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois