Individual
MR. DOUGLAS VINCENT CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, RSA
Contact information
Practice address
503 N RAYNOR AVE, JOLIET, IL 60435-6025
(815) 740-1987
(815) 740-1994
Mailing address
503 N RAYNOR AVE, JOLIET, IL 60435-6025
(815) 740-1987
(815) 740-1994
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238.000004
IL
Other
Enumeration date
07/31/2006
Last updated
01/17/2010
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