MEDICARE: SAMANTHA CARTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744P3200X	Prosthetics Case Management	011253854	IL

General Provider Information

NPI Number	:	1427504109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA CARTER

Provider Business Mailing Address
First Line	:	1941 W US HIGHWAY 50
Second Line	:
City	:	FAIRVIEW HEIGHTS
State	:	IL
Zip	:	62208-2927
Country	:	US
Telephone Number	:	618-628-9499
Fax Number	:

Provider Business Practice Location Address
First Line	:	1941 W US HIGHWAY 50
Second Line	:
City	:	FAIRVIEW HEIGHTS
State	:	IL
Zip	:	62208-2927
Country	:	US
Telephone Number	:	618-628-9499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	08/31/2016

Similar Medicare Providers

1396950721 — MR. DAVID CANTAGALLO LCMHC,LADAC
Practice Location Address:

18 SUNAPEE HEIGHTS CT
SUNAPEE, NH
03782-2927

Practice Phone: 603-763-9369
Practice Fax: 603-763-9369

1194165761 — MS. KARINA JUNE PLANKL
Practice Location Address:

2647 LORETTA ST
YORKTOWN HEIGHTS, NY
10598-2927

Practice Phone: 914-804-8229
Practice Fax:

1306552096 — ALYSSA ANN DEAKIN
Practice Location Address:

42350 NIAGARA DR
STERLING HEIGHTS, MI
48313-2927

Practice Phone: 586-552-9815
Practice Fax:

1770410763 — SHEENA NICOLE SADLOWSKI CMA
Practice Location Address:

8 EXECUTIVE DR STE 200
FAIRVIEW HEIGHTS, IL
62208-1350

Practice Phone: 618-688-4727
Practice Fax:

1134056856 — ABBRAGALE BLAINE
Practice Location Address:

8 EXECUTIVE DR
FAIRVIEW HEIGHTS, IL
62208-1345

Practice Phone: 618-688-4727
Practice Fax:

1346245727 — MICHAEL KEITH FAULKNER DC
Practice Location Address:

10513 LINCOLN TRL
FAIRVIEW HEIGHTS, IL
62208-1911

Practice Phone: 618-398-7550
Practice Fax: 618-398-7553

Directions to “ SAMANTHA CARTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.