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CAROL L. WILLIS MD NPI 1467471813


NPI Information

NPI: 1467471813
Provider Name: CAROL L. WILLIS, MD
Classification: Pathology - 207ZB0001X
Entity Type: Individual

Specialization: Blood Banking & Transfusion Medicine

PECOS Registration: Yes

Address:
5841 S MARYLAND AVE # MC3083
CHICAGO, IL
ZIP 60637
Phone: (773) 702-1439
Get Directions

Carol L. Willis, MD is a blood banking and transfusion medicine pathology in Chicago, IL. The provider is a physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. Carol L. Willis, MD NPI is 1467471813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5841 S MARYLAND AVE # MC3083
CHICAGO, IL
ZIP 60637-447
Phone: (773) 702-1439

The NPI 1467471813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology22740NEBRASKANo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology42297COLORADONo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology7063AWYOMINGNo
4207ZP0102XPathologyAnatomic Pathology & Clinical Pathology5813SOUTH DAKOTANo
5207ZB0001XPathologyBlood Banking & Transfusion Medicine036141840ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00176481OTHERNEBRASKARAILROAD MEDICARE
2119945500MEDICAIDWYOMING
3806950700MEDICAIDIDAHO
447053951401MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.