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Carl Vancol

Family Doctor Family Doctor - Adult Medicine

45 W 111th St Suite 304
Chicago , Illinois 60628-4200

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Carl Vancol

Family Doctor Family Doctor - Adult Medicine

45 W 111th St Suite 304
Chicago , Illinois 60628-4200

(773) 768-0811

Write a Review Save Call

Carl Vancol

Family Doctor Family Doctor - Adult Medicine

45 W 111th St Suite 304
Chicago , Illinois 60628-4200

(773) 768-0811 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Adult Medicine

Languages spoken

  • English

Location

45 W 111th St Suite 304 Chicago , Illinois 60628-4200

First Address

  • Carl Vancol
  • 8646 S Saginaw Ave
  • Chicago, IL
  • Zip : 60617-2422
  • Phone : (773) 768-0811

Second Address

  • Carl Vancol
  • 45 W 111th St Suite 304
  • Chicago, IL
  • Zip : 60628-4200
  • Phone : (773) 995-3463

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FAQs


Where did Carl Vancol attend graduate school?

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Where did Carl Vancol do his residency?

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Where did Carl Vancol do his fellowship?

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Is Carl Vancol board certified?

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In what state does Carl Vancol practice in?

Illinois

Where is Carl Vancol ’s practice located?

45 W 111th St Suite 304 , Chicago, Illinois, 60628-4200

What is Carl Vancol ’s gender?

Male

Is Carl Vancol a sole practitioner?

No

Is Carl Vancol accepting new patients?

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What languages does Carl Vancol speak?

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Does Carl Vancol accept insurance?

Yes, Carl Vancol accepts insurance

Does Carl Vancol offers telemedicine?

Carl Vancol has not indicated if he offers telemedicine

What is Carl Vancol ’s professional license number?

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What is Carl Vancol ’s NPI number?

1245222454

Does Carl Vancol have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor 036098516 IL
N 207QA0505X Family Doctor - Adult Medicine 036098516 IL

National Provider Identifier

NPI 1245222454
Provider Name Carl Vancol
First Address Chicago, IL 60617-2422
Second Address Chicago, IL 60628-4200
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/08/2005
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0001633398 BLUE CROSS BLUE SHIELD (01) IL
036098516 (05) IL
080193944 RAILROAD MEDICARE (01) IL
1625687 BCBS ILLINOIS (01) IL
G85473 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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