NPI 1013909134

Stephen L Carter, MD

Practitioner Dermatology Physician Chicago, IL

Practice location

Address: 2148 N Damen Ave, Chicago, IL 60647-4562
Phone: (773) 938-8128
Fax: (773) 938-8126

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 036-113222 (IL)

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Registry record

NPI: 1013909134
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2005
Record last updated: 8 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.