Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Vancol, MD

Individual provider Family Medicine Physician · NPI 1245222454

Carl Vancol, MD is a Family Practice in Chicago, Illinois. Graduated from Southern Illinois University School of Medicine in 1994, 32 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
32
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

45 W 111th St Ste 304
Chicago, IL 60628-4200
Phone: (773) 995-3463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31 W 155th St, Harvey, IL 60426-3556 — (708) 596-5177

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 036098516 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036098516 (IL)
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X · Licence 036098516 (IL)

Record details

NPI number1245222454
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesPEDIATRIC MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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