| Kim M Carnazzola Md Sc | |
|
1860 W Winchester Rd Suite 109 Libertyville IL 60048-5351 | |
| (847) 996-0607 | |
| (847) 996-0608 |
| Full Name | Kim M Carnazzola Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1860 W Winchester Rd, Libertyville, Illinois |
| Authorized Official Name and Position | Kim M Carnazzola (PRESIDENT) |
| Authorized Official Contact | 8479960607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim M Carnazzola Md Sc 1860 W Winchester Rd Suite 109 Libertyville IL 60048-5351 Ph: (847) 996-0607 | Kim M Carnazzola Md Sc 1860 W Winchester Rd Suite 109 Libertyville IL 60048-5351 Ph: (847) 996-0607 |
| NPI Number | 1902104037 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 04/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902104037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036085955 (Illinois) | Primary |
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