| Christine Carpenter Psyd Inc | |
|
801 South Blvd Ste 1 Oak Park IL 60302-2855 | |
| (773) 339-1361 | |
| Not Available |
| Full Name | Christine Carpenter Psyd Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 South Blvd Ste 1, Oak Park, Illinois |
| Authorized Official Name and Position | Christine Carpenter (PRESIDENT) |
| Authorized Official Contact | 7733391361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Carpenter Psyd Inc 801 South Blvd Ste 1 Oak Park IL 60302-2855 Ph: (773) 339-1361 | Christine Carpenter Psyd Inc 801 South Blvd Ste 1 Oak Park IL 60302-2855 Ph: (773) 339-1361 |
| NPI Number | 1114779725 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 02/20/2025 |
| Certification Date | 02/20/2025 |
| Medicare PECOS PAC ID | 1052831757 |
|---|---|
| Medicare Enrollment ID | O20250225002590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114779725 | NPI | - | NPPES |
| 1093983603 | Other | BCBSIL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Christine Elise Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093983603 PECOS PAC ID: 2961922661 Enrollment ID: I20250225002744 |
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