Individual
DR. JASON PATRICK CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 MEMORIAL DR, DEPT RADIOLOGY, BELLEVILLE, IL 62226-5360
(618) 257-5613
(314) 454-4641
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(618) 257-5613
(314) 454-4641
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036146577
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200059934
—
MO
Enumeration date
05/25/2007
Last updated
10/21/2025
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