SearchIllinois374J00000X

Ameshia Carpenter

NPI 1043020506 · on the registry since 2025 · sole proprietor

Practice

Address
1253 Oakland Ave
Rockford, IL 61107
Phone
(773) 269-1423

Registry record

Primary taxonomy
374J00000X
374J00000X
Also registered as
374J00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois