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1881795474
SELINA M CARPENTER
GURNEE, IL
NPI
1881795474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085001976)
Enumeration Date
2006-09-26
Last Update Date
2022-06-07
Business Address
SELINA M CARPENTER PAC
45 TOWER CT STE C
GURNEE, IL 60031-3376
Phone number: 847-623-3200
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Mailing Address
SELINA M CARPENTER PAC
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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