Kim M Carnazzola MD Sc
NPI #1902104037 in Libertyville, Illinois
Provider Information
- NPI Number
- 1902104037
- Entity Type
- Organization
- Organization Name
- Kim M Carnazzola MD Sc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 15, 2011
- Last Updated
- Apr 19, 2012
Practice Location
- Address
- 1860 W WINCHESTER RD
- Address 2
- SUITE 109
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-5351
- Phone
- (847) 996-0607
Authorized Official
- Name
- DR. KIM M CARNAZZOLA, MD
- Title
- PRESIDENT
- Phone
- (847) 996-0607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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