Most Relevant Information
Provider Data
| NPI Number: | 1003682436 |
| Provider Name: | JASMINE T. CARTER M. ED |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/27/2023 |
| Last Updated: | 04/22/2024 |
Provider Practice Location
6501 S PROMONTORY DR # 1003
CHICAGO
IL
606491002
Practice Location Phone/Fax
| Phone: | 7733636700 |
| Fax: |
Provider Mailing Location
2217 W MADISON ST APT 308
CHICAGO
IL
606122225
Provider Mailing Phone/Fax
| Phone: | 3125450252 |
| Fax: |