Carter, Judy A

Carter, Judy A is an individual health care provider with primary practice located at 610 S Maple Ave Suite 2100, Oak Park IL 60304-1091. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Carter, Judy A can be contacted via phone (708) 660-2240.

Contact Information

Primary practice address
610 S Maple Ave Suite 2100 Oak Park IL 60304-1091
Fax: (708) 660-2243
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036078729 Illinois
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036078729 Illinois

Profile Details

NPI number 1134187032
LBN Legal business name Carter, Judy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Nov 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134187032 NPPES
Illinois MEDICAID 036078729

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