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Dr. Daniel Thomas O Carroll

Sports Medicine Foot & Ankle Surgery

22w654 Butterfield Rd
Glen Ellyn , Illinois 60137-6957

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Dr. Daniel Thomas O Carroll

Sports Medicine Foot & Ankle Surgery

22w654 Butterfield Rd
Glen Ellyn , Illinois 60137-6957

(630) 790-9472

Write a Review Save Call

Dr. Daniel Thomas O Carroll

Sports Medicine Foot & Ankle Surgery

22w654 Butterfield Rd
Glen Ellyn , Illinois 60137-6957

(630) 790-9472 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine
  • Foot & Ankle Surgery

Languages spoken

  • English

Location

22w654 Butterfield Rd Glen Ellyn , Illinois 60137-6957

First Address

  • Dr. Daniel Thomas O Carroll
  • Po Box 4497
  • Wheaton, IL
  • Zip : 60189-4497
  • Fax : (630) 790-9472
  • Phone : (630) 790-4442

Second Address

  • Dr. Daniel Thomas O Carroll
  • 22w654 Butterfield Rd
  • Glen Ellyn, IL
  • Zip : 60137-6957
  • Fax : (630) 790-9472
  • Phone : (630) 790-4442

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FAQs


Where did Dr. Daniel Thomas O Carroll attend graduate school?

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Where did Dr. Daniel Thomas O Carroll do his residency?

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Where did Dr. Daniel Thomas O Carroll do his fellowship?

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Is Dr. Daniel Thomas O Carroll board certified?

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What type of doctor is Dr. Daniel Thomas O Carroll

Sports Medicine

In what state does Dr. Daniel Thomas O Carroll practice in?

Illinois

Where is Dr. Daniel Thomas O Carroll ’s practice located?

22w654 Butterfield Rd , Glen Ellyn, Illinois, 60137-6957

What is Dr. Daniel Thomas O Carroll ’s gender?

Male

Is Dr. Daniel Thomas O Carroll a sole practitioner?

No

Is Dr. Daniel Thomas O Carroll accepting new patients?

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What languages does Dr. Daniel Thomas O Carroll speak?

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Does Dr. Daniel Thomas O Carroll accept insurance?

Yes, Dr. Daniel Thomas O Carroll accepts insurance

Does Dr. Daniel Thomas O Carroll offers telemedicine?

Dr. Daniel Thomas O Carroll has not indicated if he offers telemedicine

What is Dr. Daniel Thomas O Carroll ’s professional license number?

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What is Dr. Daniel Thomas O Carroll ’s NPI number?

1437142858

Does Dr. Daniel Thomas O Carroll have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine 016-003265 IL
Y 213ES0000X Sports Medicine 016-003265 IL
N 213ES0103X Foot & Ankle Surgery 016-003265 IL

National Provider Identifier

NPI 1437142858
Provider Name Dr. Daniel Thomas O Carroll
First Address Wheaton, IL 60189-4497
Second Address Glen Ellyn, IL 60137-6957
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 31/08/2005
Last Update Date 27/08/2015

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
016003265 (05) IL
626570 MEDICARE PTAN (01) IL
T36984 (02) IL

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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