SALLY MADIBA-CARLSON

CHICAGO, IL
NPI1548806847
Former NameSALLY MADIBA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  125078685)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  036168225)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-11-21
Last Update Date2024-06-18
Business Address
SALLY MADIBA-CARLSON MD
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637-1443
Phone number: 773-702-9109
Mailing Address
SALLY MADIBA-CARLSON MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150