Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa A Carter, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649838384

Marisa A Carter, MD is a Family Practice in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Primecare Community Health, Inc, a 41-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1127 N Oakley Blvd Fl 2
Chicago, IL 60622-3507
Phone: (312) 770-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.162765 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125.074315 (IL)

Record details

NPI number1649838384
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address1127 N Oakley Blvd Fl 2, Chicago, IL 60622-3507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Primecare Community Health, Inc. — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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