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Mr. Prentiss Bernard Carter III, MD
Obstetrics & Gynecology Physician in Peoria, Illinois
NPI 1992808489

Prentiss Bernard Carter III is a Obstetrics & Gynecology Physician based in Peoria, IL. Prentiss Bernard Carter III practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Prentiss Bernard Carter III is 1992808489 and holds a License No. 036044919 (Illinois).

The current practice location address for Prentiss Bernard Carter III is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-5100 and via fax at 309-692-1400.

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992808489
Provider Name
Prentiss Bernard Carter III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-692-5100
Fax Number
309-692-1400
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118779 01 IL HEALTHLINK
0007215713 01 IL BLUE CROSS BLUE SHIELD
036044919 05 IL
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-5100
Fax Number
309-692-1400
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-5100
Fax Number
309-692-1400
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036044919 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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