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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1063941102

Timothy Clifford Carll, MD is a Pathology in Chicago, Illinois. Graduated from Medical College of Wisconsin in 2017, 9 years ago. Practices with University of Chicago, a 1,681-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Medical College of Wisconsin
Licensed in
IL
In the registry since
2017
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

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone: (773) 834-7708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 125070134 (IL)

Record details

NPI number1063941102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2017
Last updated in NPPESJune 11, 2017

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2017 (9 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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