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Organization

CHRISTINE CARPENTER PSYD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTINE CARPENTER PSYD (PRESIDENT)
(773) 339-1361
Entity
Organization

Contact information

Practice address
801 SOUTH BLVD STE 1, OAK PARK, IL 60302-2855
(773) 339-1361
Mailing address
801 SOUTH BLVD STE 1, OAK PARK, IL 60302-2855
(773) 339-1361

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093983603
BCBSIL
Enumeration date
04/05/2024
Last updated
02/20/2025
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