Individual
CARLA A CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
545 PLAINFIELD RD STE C, WILLOWBROOK, IL 60527-7601
(630) 654-2229
(630) 655-3270
Mailing address
545 PLAINFIELD RD STE C, WILLOWBROOK, IL 60527-7601
(630) 654-2229
(630) 655-3270
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-083442
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002223846
BC/BS
IL
Enumeration date
09/01/2006
Last updated
05/09/2014
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