Selina M. Carpenter, PAC

Physician Assistant · Gurnee, IL

Individual Active NPI

NPI number 1881795474

Practice location

45 Tower Ct Ste C
Gurnee, IL 60031-3376
Phone
(847) 623-3200

Open in Google Maps

NPI record

NPI
1881795474
Entity type
Individual (Type 1)
Enumeration date
September 26, 2006
Last updated
June 7, 2022
Certified
June 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085001976 IL

Mailing address

29373 Network Pl
Chicago, IL 60673-1293
Phone
(847) 390-5900

About Selina Carpenter

Selina M. Carpenter, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 45 Tower Ct Ste C, Gurnee, IL 60031-3376. The NPI number 1881795474 was assigned on September 26, 2006 and the record was last updated on June 7, 2022.

Selina Carpenter lists a license in the registry: #085001976 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Selina M. Carpenter, PAC?

The NPI number is 1881795474.

What is the phone number of Selina Carpenter?

The phone number listed for the practice location is (847) 623-3200.

Where is Selina Carpenter located?

45 Tower Ct Ste C, Gurnee, IL 60031-3376.

What is the taxonomy code for Selina Carpenter?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Gurnee

All Physician Assistant providers in Gurnee, IL →