Individual
COURTNEY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 787-9582
Mailing address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362771343001
—
IL
Enumeration date
09/23/2015
Last updated
09/23/2015
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