Provider Demographics
NPI:1033945563
Name:CARTER, MARGARET MILLER (PA-S2)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MILLER
Last Name:CARTER
Suffix:
Gender:F
Credentials:PA-S2
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE STE 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-570-2040
Mailing Address - Fax:847-733-5315
Practice Address - Street 1:2650 RIDGE AVE STE 2507
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1700
Practice Address - Country:US
Practice Address - Phone:847-570-2560
Practice Address - Fax:847-570-2930
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL085011748363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant