Charles, Lesley Althea

Charles, Lesley Althea is an individual health care provider with primary practice located at 500 E 51St St , Chicago IL 60615-2400. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Charles, Lesley Althea can be contacted via phone (312) 572-2657.

Contact Information

Primary practice address
500 E 51St St Chicago IL 60615-2400
Fax: (312) 572-2595
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-082544 Illinois
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036-082544 Illinois

Profile Details

NPI number 1376564492
LBN Legal business name Charles, Lesley Althea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 10th, 2017 - about 8 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 1376564492 NPPES
Illinois Other 036-082544 STATE LICENSE NUMBER

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