Individual
CHEYENNE ELIZABETH CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1037
Mailing address
2243 COUNTY ROAD 600 N, SECOR, IL 61771-9523
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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