Individual
CARRIE A FEID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, CNP
Contact information
Practice address
10 HEALTH SERVICES DR, DEKALB, IL 60115-9600
(815) 756-5255
(815) 756-9944
Mailing address
10 HEALTH SERVICES DR, DEKALB, IL 60115-9600
(815) 756-5255
(815) 756-9944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012059
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400176921
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
11/05/2014
Last updated
12/02/2024
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