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Individual

DAVID CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2960 CHARTRES ST, LA SALLE, IL 61301-1031
(815) 224-1610
Mailing address
3413 BEAVER TRL APT D, AURORA, OH 44202-8523

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.430412
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022013042
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209027877
IL

Other

Enumeration date
11/17/2021
Last updated
12/03/2024
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