Individual
MS. CAROLINE J TETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 432-7392
(312) 666-6228
Mailing address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 432-7392
(312) 666-6228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085000465
IL
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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