Search › Illinois › 222Q00000X
Jillian Carpenter
NPI 1154680437 · on the registry since 2012 · sole proprietor
Practice
- Address
- 401 W 6th St
Benton, IL 62812 - Phone
- (815) 600-3078
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-05-08
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