CAROL STREAM MEDICAL PLLC – NPI #1851173330
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CAROL STREAM MEDICAL PLLC is a provider located in CAROL STREAM, IL. NPPES has assigned the NPI number 1851173330 to CAROL STREAM MEDICAL PLLC on October 18, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Aug 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROL STREAM MEDICAL PLLC below.

NPI Profile for
CAROL STREAM MEDICAL PLLC

NPI Number
1851173330
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAROL STREAM MEDICAL PLLC
Primary location
270 W ARMY TRAIL RD
CAROL STREAM, IL 60188
Phone: (630) 517-5674 Fax:
Mailing address
270 W ARMY TRAIL ROAD
CAROL STREAM, IL 60188-9368
Phone: (630) 246-7250 Fax: (630) 332-3004
Organization Subpart
No
Authorized Official
CHANELE SMITH
MANAGER
Phone: (239) 260-0530
Updated
Certification Date
Aug 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.