KIM M CARNAZZOLA MD SC
Marriage and Family Therapists at Winchester Rd, Green Oaks, IL

License number
Illinois 036085955
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. KIM M CARNAZZOLA MD
Title: PRESIDENT
Phone: (847) 996-0607
Address
Address
1860 W Winchester Rd SUITE 109, Green Oaks, IL 60048
National Provider ID: 1902104037
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIM M. CARNAZZOLA, M.D., S.C

Green Oaks, IL

Industry:
Medical Doctor's Office
Registration:
Nov 4, 1994
Addresses:
Libertyville, IL 60048 (Physical)
1860 W Winchester Rd, Green Oaks, IL 60048
State ID:
58054666
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Registered Nurses:
Kim M. Carnazzola (General Medical Practice, President),Lina Salazar (Office Manager),Christine M. Hunt (Registered Nurse)
Agent:
Kim M Carnazzola,722 Vly Park Dr, Libertyville, IL 60048 (Physical)

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