IndividualActive
Daniel O Carroll, DPM, DABPS
NPI 1437142858 · Sports Medicine Podiatrist · Glen Ellyn, IL
Provider details
- NPI number
- 1437142858
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM, DABPS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 016-003265 (IL)
Practice location
22w654 Butterfield Rd
Glen Ellyn, IL 60137-6957
Phone: (630) 790-4442
Fax: (630) 790-9472
Mailing address
Po Box 4497
Wheaton, IL 60189-4497
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2024-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.