ROBERT POWELL

ST CHARLES, IL
NPI1477849388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: IL  160.004470)
Enumeration Date2011-06-20
Last Update Date2011-06-20
Business Address
-- ROBERT POWELL
964 N 5TH AVE STE C
ST CHARLES, IL 60174-1204
Phone number: 630-208-4215
Mailing Address
-- ROBERT POWELL
239 VALLEY VIEW DR
ST CHARLES, IL 60175-4646
Phone number: