Provider Demographics
NPI:1851354187
Name:CARLINO, ANTONIO PAOLO (DO)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:PAOLO
Last Name:CARLINO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 E BOUGHTON RD
Mailing Address - Street 2:265
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-2100
Mailing Address - Country:US
Mailing Address - Phone:630-739-2878
Mailing Address - Fax:630-739-6147
Practice Address - Street 1:550 E BOUGHTON RD
Practice Address - Street 2:265
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2100
Practice Address - Country:US
Practice Address - Phone:630-739-2878
Practice Address - Fax:630-739-6147
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036091918207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL72858Medicare PIN
ILG48246Medicare UPIN
IL036091918Medicaid