Provider Demographics
NPI:1265671044
Name:APRIL L. CARBONE, PH.D., LLC
Entity Type:Organization
Organization Name:APRIL L. CARBONE, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/ PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CARBONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:312-291-8454
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:312-219-8454
Practice Address - Fax:312-291-8455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.007603103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL1701OtherPTAN