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Search › Illinois › 1223G0001X

Raven-Deneice Carouthers, DDS

NPI 1386296259 · on the registry since 2019 · sole proprietor

Practice

Address
820 S Damen Ave
Chicago, IL 60612
Phone
(713) 574-0787
Organisation at this address
Chicago Vamc
Chicago Vamc
Chicago Vamc
Jesse Brown Va
Jesse Brown Va
Inferred from a shared address, not stated in the registry.
Clinicians at this address
639

Additional practice sites

  • 2112 Aldine Meadows Rd, Houston, TX

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
390200000X
Licence states on file
IL, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois