Provider Demographics
NPI:1316007875
Name:CARO, WILLIAM ALLAN (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALLAN
Last Name:CARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:676 N SAINT CLAIR ST
Mailing Address - Street 2:SUITE 1840
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2927
Mailing Address - Country:US
Mailing Address - Phone:312-266-7180
Mailing Address - Fax:312-587-9001
Practice Address - Street 1:676 N SAINT CLAIR ST
Practice Address - Street 2:SUITE 1840
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2927
Practice Address - Country:US
Practice Address - Phone:312-266-7180
Practice Address - Fax:312-587-9001
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36-036875207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD12129Medicare UPIN
IL454150Medicare ID - Type Unspecified