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Keaton Carpenter Read

Internal Medicine

Allopathic & Osteopathic Physicians

1645 W Jackson Blvd Ste 215, Chicago, IL 60612-3227

PECOS Enrollment

This provider is enrolled in PECOS as KEATON READ.

Based on the most recent information from CMS, provider Keaton Carpenter Read is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1629810502
Provider Type
Individual
Full Name
Read, Keaton Carpenter
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/11/2024
Last Updated
6/11/2024

Contact Information

Practice Location

1645 W Jackson Blvd Ste 215, Chicago, IL 60612-3227

(312) 942-8028

Unlisted Fax

Mailing Location

1645 W Jackson Blvd Ste 215, Chicago, IL 60612-3227

(312) 942-8028

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125.084342 Illinois
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License 125.084342 Illinois

Keaton Carpenter Read

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Rafiq, Muhammad

Mclaughlin, Margaret A.

Xu, Rong

Mohammed, Abdul

Jung, Minki

Kapania, Esha

Shilbayeh, Abdul-Rahim Ziyad Abdul-Rahim

Cornejo Gonzalez, Diego Mateo

Maciata, Wojciech Stanislaw

Berroya, Asuncion C