Carter, Keith Jerome
Carter, Keith Jerome is an individual health care provider with primary practice located at 14300 S Ravinia Ave Ste 100 , Orland Park IL 60462-2578. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Carter, Keith Jerome can be contacted via phone (630) 974-6602.Contact Information
Primary practice address
14300 S Ravinia Ave Ste 100
Orland Park IL 60462-2578
Phone: (630) 974-6602
Fax: (630) 487-2411
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209026498 | Illinois |
Profile Details
NPI number | 1043920929 |
---|---|
LBN Legal business name | Carter, Keith Jerome |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2022 |
Last updated | Nov 13th, 2023 - about last year |
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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