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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

Request for update

Popular Providers