CHARLES MININGER

EVANSTON, IL
NPI1508146309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085004089)
Enumeration Date2011-08-24
Last Update Date2011-08-25
Business Address
-- CHARLES MININGER
2650 RIDGE AVE
EVANSTON, IL 60201-1718
Phone number: 847-570-2000
Mailing Address
-- CHARLES MININGER
444 W FULLERTON PKWY APT 1801
CHICAGO, IL 60614-2852
Phone number:
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