Alcorn, Charles Edgar

Alcorn, Charles Edgar is an individual health care provider with primary practice located at 460 N Main St Suite 205, Glen Ellyn IL 60137-5176. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Alcorn, Charles Edgar can be contacted via phone (630) 469-4699.

Contact Information

Primary practice address
460 N Main St Suite 205 Glen Ellyn IL 60137-5176
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1700963741
LBN Legal business name Alcorn, Charles Edgar
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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