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1063941102
TIMOTHY CLIFFORD CARLL
CHICAGO, IL
NPI
1063941102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 125070134)
Enumeration Date
2017-06-11
Last Update Date
2017-06-11
Business Address
TIMOTHY CLIFFORD CARLL MD
5841 S MARYLAND AVE
CHICAGO, IL 60637-1447
Phone number: 773-834-7708
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Mailing Address
TIMOTHY CLIFFORD CARLL MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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