Individual
MR. JEFFERY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
43 BANKVIEW DR, FRANKFORT, IL 60423-1861
(815) 469-6676
Mailing address
3323 188TH ST, LANSING, IL 60438-3503
(708) 752-6027
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
096.002639
IL
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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