Individual provider · Type 1 NPI
Keith Jerome Carter, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1043920929
Active
Practice location
3209 N Lakewood Ave
Chicago, IL 60657-3215
Fax (866) 671-9991
Mailing address
1100 Jorie Blvd Ste 300
Oak Brook, IL 60523-2219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 277005129 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1043920929
Keith Jerome Carter, PMHNP-BC's National Provider Identifier is 1043920929, issued on Dec 1, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Sep 29, 2026.