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Search › Illinois › 133V00000X

Brian Carroll

NPI 1558789479 · on the registry since 2014 · sole proprietor

Practice

Address
1909 W Coolidge Ave
Marion, IL 62959
Phone
(618) 997-5677
Organisation at this address
Docrx Inc
Si Medical, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133V00000X
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-29

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