1023188380 NPI number — MRS. MARGARET E CARTON PT

Table of content: MRS. MARGARET E CARTON PT (NPI 1023188380)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023188380 NPI number — MRS. MARGARET E CARTON PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARTON
Provider First Name:
MARGARET
Provider Middle Name:
E
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DOAK
Provider Other First Name:
MARGARET
Provider Other Middle Name:
ELLEN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1023188380
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2122 YORK RD STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAK BROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60523-1925
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-575-6200
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
685 AVE OF THE CITIES STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SILVIS
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61282-7004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-792-3860
Provider Business Practice Location Address Fax Number:
309-792-3861
Provider Enumeration Date:
11/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  070006426 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 08130333 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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