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1376158444
CHARLES SAMUEL
MOUNT PROSPECT, IL
NPI
1376158444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209.021993)
Enumeration Date
2020-09-15
Last Update Date
2020-09-15
Business Address
CHARLES SAMUEL NP
280 N WESTGATE RD APT 222
MOUNT PROSPECT, IL 60056-2661
Phone number: 224-659-6159
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Mailing Address
CHARLES SAMUEL NP
280 N WESTGATE RD APT 222
MOUNT PROSPECT, IL 60056-2661
Phone number: 224-659-6159
Copy
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