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1811558638
CHARLES EARL SWANSON
KANKAKEE, IL
NPI
1811558638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036.160864)
Enumeration Date
2019-06-24
Last Update Date
2022-08-14
Business Address
Dr. CHARLES EARL SWANSON DO
350 N WALL ST
KANKAKEE, IL 60901-2991
Phone number: 815-928-6274
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Mailing Address
Dr. CHARLES EARL SWANSON DO
1256 SIOUX TURN
KANKAKEE, IL 60901-8137
Phone number: 815-600-1134
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