CHARLES SAMUEL

MOUNT PROSPECT, IL
NPI1376158444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209.021993)
Enumeration Date2020-09-15
Last Update Date2020-09-15
Business Address
CHARLES SAMUEL NP
280 N WESTGATE RD APT 222
MOUNT PROSPECT, IL 60056-2661
Phone number: 224-659-6159
Mailing Address
CHARLES SAMUEL NP
280 N WESTGATE RD APT 222
MOUNT PROSPECT, IL 60056-2661
Phone number: 224-659-6159
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