Individual
ARTHUR DUPREE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A./L
Contact information
Practice address
3703 W LAKE AVE STE 200, GLENVIEW, IL 60026-1266
(847) 998-1188
Mailing address
7653 S BISHOP ST APT 1S, CHICAGO, IL 60620-4126
(773) 723-6180
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
057.000457
IL
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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