Elaine Marie Carroll in Pontiac - Maternal & Fetal Medicine
Elaine Marie Carroll - NPI 1598739492
Elaine Marie Carroll is a Maternal & Fetal Medicine in Pontiac, Illinois. Elaine Marie Carroll practices all healthcare services and medical treatments related to Maternal & Fetal Medicine. The NPI Number for Elaine Marie Carroll is 1598739492. The last update date is 2022-04-20.
Elaine Marie Carroll's current location address is 1508 W Reynolds St, Pontiac, Illinois. You can contact this provider via phone number 8158444611. The mailing address for Elaine Marie Carroll is 1508 W Reynolds St, Pontiac, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Marie Carroll |
|---|---|
| Address | 1508 W Reynolds St, Pontiac, Illinois |
| Phone Number | 8158444611 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1598739492 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2022-04-20 |
Provider Mailing Address Detail
| Address | 1508 W Reynolds St |
|---|---|
| City | Pontiac |
| State | Illinois (IL) |
| Post Code | 617642811 |
| Phone Number | 8158444611 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Maternal & Fetal Medicine |
|---|---|
| Taxonomy | 207Vm0101X |
| Licence No | 01076901A |
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Definition: An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 206147 | IL | MEDICARE PTAN (GROUP) | |
| 36085505 | IL | -- | |
| 206147098 | IL | MEDICARE PTAN (INDIVIDUAL) | |
| 181980007 | IN | MEDICARE PTAN | |
| 200265610 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elaine Marie Carroll by the Centers for Medicare & Medicaid Services (CMS)?
The Elaine Marie Carroll has been assigned the NPI (National Provider Identifier) 1598739492. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Elaine Marie Carroll is located?
The Elaine Marie Carroll is situated at the following address: 1508 W Reynolds St, Pontiac, IL, 617642811.
What is the Elaine Marie Carroll's area of specialization and corresponding taxonomy classification?
The Elaine Marie Carroll's specialty field is Maternal & Fetal Medicine, and it falls under the taxonomy code 207Vm0101X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1598739492 to Elaine Marie Carroll?
The Centers for Medicare & Medicaid Services assigned the 1598739492 to Elaine Marie Carroll on 2006-02-15.
As of what date were the Elaine Marie Carroll's details last updated?
The information pertaining to the Elaine Marie Carroll, including its address, specialty, and other details, was most recently updated on 2022-04-20.