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Contact Information

MATTHEW T CARPENTER, MD
221 NE GLEN OAK AVE
DEPARTMENT OF RADIATION ONCOLOGY
PEORIA, IL61636-0001
 Phone: 309-672-5700
 Fax: 309-671-2774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MATTHEW T CARPENTER · (Male)

NPI Number 1043298334
Status Active
Credentials MD
Entity Individual
Enumeration date 01/06/2006
Last updated 09/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.126216
  • TX License # M2918
  • TX Medicaid 202746801
Hospital affiliation(s)
  • METHODIST MEDICAL CENTER OF ILLINOIS - (Acute Care)
    221 N E GLEN OAK AVE
    PEORIA, IL 61636
  • OSF HOLY FAMILY MEDICAL CENTER - (Critical Access)
    1000 W HARLEM AVENUE
    MONMOUTH, IL 61462
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
  • ST MARY MEDICAL CENTER - (Acute Care)
    3333 NORTH SEMINARY
    GALESBURG, IL 61401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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