Search › Illinois › 207V00000X

Elaine Carroll, MD

NPI 1598739492 · on the registry since 2006

Practice

Address
1508 W Reynolds St
Pontiac, IL 61764
Phone
(815) 844-4611

Additional practice sites

  • 11123 Parkview Plaza Dr, Fort Wayne, IN
  • 100 Navarre Pl Ste 4410, South Bend, IN

Registry record

Primary taxonomy
207V00000X
207V00000X
Also registered as
207VM0101X
207VM0101X
Licence states on file
IN, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-20

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