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Stacey Carpenter, DO
NPI 1770819708 · on the registry since 2009
Practice
- Address
- 6150 Joliet Rd
Countryside, IL 60525 - Phone
- (708) 485-2273
- Fax
- (708) 352-0845
- Organisation at this address
- Premise Health Of Illinois Medical Pc
Midwest Operating Engineers Health And Welfare Trust FundInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-09
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