Individual
CARROLYN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 N GENESEE ST, WAUKEGAN, IL 60085-4262
(847) 441-5600
Mailing address
1121 WESTMORELAND AVE, WAUKEGAN, IL 60085-2660
(847) 441-5600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/25/2025
Last updated
10/25/2025
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