ELAINE MARIE CARROLL

PONTIAC, IL
NPI1598739492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IL  36085505)
Additional Taxonomies207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: IN  01076901A)
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: IL  036085505)
Enumeration Date2006-02-15
Last Update Date2022-04-20
Business Address
ELAINE MARIE CARROLL MD
1508 W REYNOLDS ST
PONTIAC, IL 61764-2811
Phone number: 815-844-4611
Mailing Address
ELAINE MARIE CARROLL MD
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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