Provider Demographics
NPI:1528383197
Name:WHITAKER CARR, CLAUDIA ANNE (APN, WHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:ANNE
Last Name:WHITAKER CARR
Suffix:
Gender:F
Credentials:APN, WHNP-BC
Other - Prefix:MS
Other - First Name:CLAUDIA
Other - Middle Name:A
Other - Last Name:WHITAKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN, WHNP
Mailing Address - Street 1:1325 WESSLING DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4228
Mailing Address - Country:US
Mailing Address - Phone:847-431-1588
Mailing Address - Fax:
Practice Address - Street 1:1276 N CLYBOURN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-2089
Practice Address - Country:US
Practice Address - Phone:312-337-1073
Practice Address - Fax:312-337-7616
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007550363LW0102X
IL209007550363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health