Provider Demographics
NPI:1740631951
Name:SCHMITT, CARRIE (DO)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 W ERIE ST APT 702
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-6455
Mailing Address - Country:US
Mailing Address - Phone:314-420-7138
Mailing Address - Fax:
Practice Address - Street 1:53 W JACKSON BLVD STE 1160
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3784
Practice Address - Country:US
Practice Address - Phone:312-360-1983
Practice Address - Fax:312-360-1984
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1572422084P0800X
MI390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program