CHARLES BOUCHARD

MAYWOOD, IL
NPI1902872393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207WX0120X Ophthalmology, Cornea and External Diseases Specialist
(Licence: IL  036080233)
Additional Taxonomies207W00000X Ophthalmology
(Licence: IL  36080233)
Enumeration Date2006-02-24
Last Update Date2021-10-18
Business Address
CHARLES BOUCHARD MD
2160 S FIRST AVE (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)
MAYWOOD, IL 60153
Phone number: 630-627-7399
Mailing Address
CHARLES BOUCHARD MD
2160 S FIRST AVE (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)
MAYWOOD, IL 60153
Phone number: 630-627-7399