John Carroll, M.D.

NPI #1376852301 in West Peoria, Illinois

Provider Information

NPI Number: 1376852301
Entity Type: Individual
Name: John Carroll, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Sep 24, 2010
Last Updated: Sep 24, 2010

Practice Location

Address: 2727 W HEADING AVE
City: West Peoria
State: Illinois
ZIP Code: 61604-4981
Phone: (309) 648-1087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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