Susan R. Carpenter, DC
Individual provider Active NPI Chiropractor · Ringwood, IL
NPI 1942321955 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942321955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- Practice address
- 5511 N Ridgeway Rd
Ringwood, IL 60072-9633 - Phone
- (815) 728-1074
- Fax
- (815) 653-0131
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Yes |
Addresses
Primary practice location
5511 N Ridgeway Rd
Ringwood, IL 60072-9633
Mailing address
5511 N Ridgeway Rd
Ringwood, IL 60072-9633
Phone (815) 728-1074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5682029 | Other | IL | BXBS |
Other providers in Ringwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.