DR. DANIEL THOMAS O CARROLL (NPI# 1437142858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437142858 |
| Entity Type | Individual |
| Full Name | DR. DANIEL THOMAS O CARROLL |
| Credential | DPM, DABPS |
| Practice Address |
22w654 Butterfield Rd Glen Ellyn IL 60137-6957 |
| Mailing Address |
Po Box 4497 Wheaton IL 60189-4497 |
| Practice Telephone | 6307904442 |
| Practice Fax Number | 6307909472 |
| Mailing Telephone | 6307904442 |
| Mailing Fax Number | 6307909472 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2015-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
016-003265 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-003265 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | 626570 | 01 |
| IL | 016003265 | 05 |
| Street Address |
22W654 BUTTERFIELD RD |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174741722 | Ocarroll& Associates LLC | Podiatrist | 22w654 Butterfield Rd, Glen Ellyn, IL 60137-6957 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871507533 | Crista Joy Frank | Podiatrist | 123 Johnston Dr, Highland Park, IL 60035-6411 | 2006-07-28 |
| 1265942080 | Performance Podiatry Partners, LLC | Podiatrist | 4805 N Claremont Ave, Commercial Unit 1, Chicago, IL 60625 | 2017-10-06 |
| 1104213651 | Halinski Podiatrics | Podiatrist | 3385 N Arlington Heights Rd, Suite Gh, Arlington Heights, IL 60004-7702 | 2015-04-22 |
| 1942474036 | Forest View Podiatry Center | Podiatrist | 1760 W Algonquin Rd, Hoffman Estates, IL 60192-1573 | 2008-04-18 |
| 1043263171 | Bruce E. Noxon | Podiatrist | 2050 Pfingsten Rd, Suite #190, Glenview, IL 60026-1324 | 2006-05-18 |
| City | GLEN ELLYN |
| Zip Code | 60137 |
Please comment or provide details below to improve the information on DR. DANIEL THOMAS O CARROLL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.