Kim M Carnazzola MD SC
Kim M Carnazzola MD SC is a Family Medicine Physician in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
1860 W Winchester Rd Ste 109Libertyville, IL 60048-5351
Phone: (847) 996-0607
Fax: (847) 996-0608
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036085955 (IL) |
|---|
Record details
| NPI number | 1902104037 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Carnazzola — President · (847) 996-0607 |
| NPI enumerated | March 15, 2011 |
| Last updated in NPPES | April 19, 2012 |
| Mailing address | 1860 W Winchester Rd, Suite 109, Libertyville, IL 60048-5351 |
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