NPI 1437142858

Daniel Thomas O Carroll, DPMDABPS

Practitioner Sports Medicine Podiatrist Glen Ellyn, IL

Practice location

Address: 22w654 Butterfield Rd, Glen Ellyn, IL 60137-6957
Phone: (630) 790-4442
Fax: (630) 790-9472
Mailing address: PO Box 4497, Wheaton, IL 60189-4497

Registered specialties (2)

Sports Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0000X Licence 016-003265 (IL)

Other Podiatrist providers in Illinois →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 016-003265 (IL)

Registry record

NPI: 1437142858
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2005
Record last updated: 10 Jun 2024

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.