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
Phone: (708) 660-2240
Fax: (708) 660-2243
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134187032 | NPPES |
Illinois | MEDICAID | 036078729 |
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