Individual
MR. DENNIS P CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 STATE STREET, CHESTER, IL 62233-1116
(618) 826-4581
(618) 826-4813
Mailing address
1900 STATE STREET, CHESTER, IL 62233-1116
(618) 826-4581
(618) 826-4813
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
041-155390
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
791551
MEDICARE LEGACY
—
Enumeration date
09/09/2008
Last updated
09/09/2008
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