Carter, Stephen L

Carter, Stephen L is an individual health care provider with primary practice located at 2148 N Damen Ave , Chicago IL 60647-4562. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Carter, Stephen L can be contacted via phone (773) 938-8128.

Contact Information

Primary practice address
2148 N Damen Ave Chicago IL 60647-4562
Phone: (773) 938-8128
Fax: (773) 938-8126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-113222 Illinois

Profile Details

NPI number 1013909134
LBN Legal business name Carter, Stephen L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Apr 8th, 2020 - about 6 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 1013909134 NPPES
Illinois Other P00232723 RAILROAD MEDICARE

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