| Doctor Name: | MRS. DIANE C. CARPENTER |
| NPI Number: | 1568436202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | |
| Business Practice Address: | 22285 Pepper Rd Suite 111 Lake Barrington, IL - 60010 |
| Business Phone Number: | 8473827330 |
| Business Fax Number: | 8473829654 |
| Mailing Address: | 620 Goldenrod Dr, ALGONQUIN |
| State: | IL |
| Postal Code: | 601026503 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |