Individual
JASON A CARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
360 STATION DR, CRYSTAL LAKE, IL 60014
(815) 338-6600
(815) 455-8044
Mailing address
360 STATION DR, CRYSTAL LAKE, IL 60014-7978
(815) 338-6600
(815) 455-8044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209000227
IL
363LF0000X
Family Nurse Practitioner
Primary
209000227
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209000227
STATE LICENSE
IL
Enumeration date
07/15/2005
Last updated
11/02/2018
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