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CAROL STREAM MEDICAL PLLC
NPI 1851173330
General Practice in Carol Stream, IL

Active since October 18, 2023
270 W ARMY TRAIL RD, CAROL STREAM, IL 60188(630) 517-5674 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, Aug 14, 2024, Oct 18, 2023 (3 updates tracked since 2023).

About Carol Stream Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL STREAM MEDICAL PLLC (NPI 1851173330) is a healthcare organization registered as a general practice in Carol Stream, Illinois and active in the NPI registry since October 2023. The organization lists Chanele Smith, Manager, as its authorized official.

NPPES Registry Identity

NPI1851173330
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCAROL STREAM MEDICAL PLLC
Location Address270 W ARMY TRAIL RDCarol Stream, IL 60188
Mailing Address270 W Army Trail RoadCarol Stream, IL 60188-9368 · (630) 246-7250 · Fax (630) 332-3004
Phone(630) 517-5674
Organization SubpartNo
Authorized OfficialChanele SmithManager · (239) 260-0530
Enumeration DateOctober 18, 2023
Last NPPES UpdateAugust 27, 20243 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1851173330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
270 W ARMY TRAIL RD, Carol Stream, IL 60188
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY PETRARCA DC
Chiropractor
270 W ARMY TRAIL RD
CAROL STREAM, IL 60188
Dupage County (630) 517-5674
MIRHA KARIC FNP
Nurse Practitioner
270 W ARMY TRAIL RD
CAROL STREAM, IL 60188
Dupage County (630) 517-5674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Stream Medical PLLC's NPI number?

The NPI number for Carol Stream Medical PLLC is 1851173330. It was assigned to this organization in the NPPES registry on October 18, 2023.

Where is Carol Stream Medical PLLC located?

Carol Stream Medical PLLC is located at 270 W Army Trail Rd, Carol Stream, IL 60188. The listed phone number is (630) 517-5674.

What is Carol Stream Medical PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Carol Stream Medical PLLC was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.