Provider Demographics
NPI:1134304280
Name:CARBONE, APRIL L (PHD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:L
Last Name:CARBONE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 1190
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4501
Mailing Address - Country:US
Mailing Address - Phone:312-291-8454
Mailing Address - Fax:312-291-8455
Practice Address - Street 1:980 N MICHIGAN AVE
Practice Address - Street 2:SUITE 1190
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4501
Practice Address - Country:US
Practice Address - Phone:312-291-8454
Practice Address - Fax:312-291-8455
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7461103T00000X
IL071.007603103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL1701001OtherPTAN