Whalio Doctors

NPI 1225072598

Carol Witcraft Booth, MD

Practitioner Clinical Genetics (M.D.) Physician Park Ridge, IL

Practice location

Address
1875 Dempster St Suite 310, Park Ridge, IL 60068-1186
Phone
(847) 723-7705
Fax
(847) 723-8675

Registered specialties

Clinical Genetics (M.D.) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 036042710 (IL)

Registry record

NPI
1225072598
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Jun 2006
Record last updated
10 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.