Individual
DR. STEPHEN L CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2148 N DAMEN AVE, CHICAGO, IL 60647-4562
(773) 938-8128
(773) 938-8126
Mailing address
2148 N DAMEN AVE, CHICAGO, IL 60647-4562
(773) 938-8128
(773) 983-8126
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-113222
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00232723
RAILROAD MEDICARE
IL
Enumeration date
08/16/2005
Last updated
04/08/2020
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