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Individual
CHARLES G BISHOP JR.
Active
Individual
CHARLES G BISHOP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036106182
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036106182
IL
Other
Enumeration date
12/14/2005
Last updated
12/26/2014
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