Individual provider · Type 1 NPI

Carl Diciolla

Student in an Organized Health Care Education/Training Program · Elgin, IL

NPI number 1215869367 Active

Practice location

1845 Grandstand Pl
Elgin, IL 60123-6603

Call (847) 695-0484 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215869367

Carl Diciolla's National Provider Identifier is 1215869367, issued on Jun 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elgin, IL. The record was last updated on Jun 2, 2026.