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1932170982
CHARLES R MARIS
URBANA, IL
NPI
1932170982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IL 036-056584)
Enumeration Date
2006-01-29
Last Update Date
2012-06-11
Business Address
-- CHARLES R MARIS MD
602 W. UNIVERSITY AVENUE OTOLARYNGOLOGY
URBANA, IL 61801
Phone number: 217-383-3130
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Mailing Address
-- CHARLES R MARIS MD
P.O. BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8300
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