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1346268604
CHARLES R IRELAND
GLEN ELLYN, IL
NPI
1346268604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-076070)
Enumeration Date
2006-07-17
Last Update Date
2023-08-08
Business Address
CHARLES R IRELAND DO
430 PENNSYLVANIA AVE STE 150
GLEN ELLYN, IL 60137-4464
Phone number: 888-693-6437
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Mailing Address
CHARLES R IRELAND DO
PO BOX 713260
CHICAGO, IL 60677-1260
Phone number: 630-469-9200
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