Stanley Caradine, is a
Dentist based in Sheridan, Illinois. Stanley Caradine is licensed to practice in Illinois (license number 019021871) and his current practice location is
4017 E 2603rd Rd, Sheridan, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 496-2181.
NPI number for Stanley Caradine is 1922632694 and his current mailing address is Po Box 277849, Riverdale, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922632694.
Healthcare Provider's Profile
Full Name | Stanley Caradine |
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Gender | Male |
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Speciality | Dentist |
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Location | 4017 E 2603rd Rd, Sheridan, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922632694
- Provider Enumeration Date: 03/02/2020
- Last Update Date: 03/02/2020
Medical Identifiers
Medical identifiers for Stanley Caradine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922632694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019021871 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stanley Caradine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stanley Caradine, Po Box 277849, Riverdale, IL 60827-7849 Ph: (708) 986-4234 | Stanley Caradine, 4017 E 2603rd Rd, Sheridan, IL 60551-9502 Ph: (815) 496-2181 |
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