PHILLIP OZELL CARR

MAYWOOD, IL
NPI1538813936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209024649)
Enumeration Date2022-02-05
Last Update Date2024-01-18
Business Address
PHILLIP OZELL CARR
1408 S 10TH AVE
MAYWOOD, IL 60153-1957
Phone number: 630-999-1143
Mailing Address
PHILLIP OZELL CARR
1408 S 10TH AVE
MAYWOOD, IL 60153-1957
Phone number: 630-999-1143