Provider Demographics
NPI:1578624870
Name:CARTMAN, ALFRED LAWRENCE JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:LAWRENCE
Last Name:CARTMAN
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7127 SOUTH YATES BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-2529
Mailing Address - Country:US
Mailing Address - Phone:773-221-0017
Mailing Address - Fax:773-221-3506
Practice Address - Street 1:7127 SOUTH YATES BOULEVARD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-2529
Practice Address - Country:US
Practice Address - Phone:773-221-0017
Practice Address - Fax:773-221-3506
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001627988OtherBCBS PROVIDER NUMBER