Renee L Carlson, DT - Pediatrics in Princeton, IL

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Renee L Carlson, DT is a Pediatrics - Developmental - Behavioral Pediatrics physician based in Princeton, Illinois. Renee L Carlson is licensed to practice in Illinois (license number RC11700805P) and her current practice location is 406 S Gosse Blvd, Princeton, Illinois. She can be reached at her office (for appointments etc.) via phone at (815) 875-4548.

NPI number for Renee L Carlson is 1245322759 and her current mailing address is 406 S Gosse Blvd, Princeton, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245322759.

Contact Information

Renee L Carlson, DT
406 S Gosse Blvd,
Princeton, IL 61356-1916
(815) 875-4548
(815) 875-8602

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Physician's Profile

Full NameRenee L Carlson
GenderFemale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
Location406 S Gosse Blvd, Princeton, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245322759
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Renee L Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245322759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics RC11700805P (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. Renee L Carlson 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 AddressPractice Location Address
Renee L Carlson, DT
406 S Gosse Blvd,
Princeton, IL 61356-1916

Ph: (815) 875-4548		Renee L Carlson, DT
406 S Gosse Blvd,
Princeton, IL 61356-1916

Ph: (815) 875-4548

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Pediatrics Doctors in Princeton, IL


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