Charles, Bernard R

Charles, Bernard R is an individual health care provider with primary practice located at 301 Springfield Ave , Joliet IL 60435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Charles, Bernard R can be contacted via phone (815) 630-5119.

Contact Information

Primary practice address
301 Springfield Ave Joliet IL 60435
Fax: (815) 630-3126
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036121755 Illinois

Profile Details

NPI number 1437309234
LBN Legal business name Charles, Bernard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Jun 7th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437309234 NPPES
Illinois Other 036121755 STATE LICENSED

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