Provider Demographics
NPI:1780611400
Name:WARSHAW, CAROLE LESLIE (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:LESLIE
Last Name:WARSHAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3428 N JANSSEN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1322
Mailing Address - Country:US
Mailing Address - Phone:312-419-9220
Mailing Address - Fax:773-327-0962
Practice Address - Street 1:55 E WASHINGTON ST
Practice Address - Street 2:SUITE 2017
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2103
Practice Address - Country:US
Practice Address - Phone:312-419-9220
Practice Address - Fax:773-327-0962
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036056537207R00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry