Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. CHARLES CLIFFORD ALSTON
Active
Individual
DR. CHARLES CLIFFORD ALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036061393
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036061393
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061393
—
IL
01
—
21609820
BLUE CROSS BLUE SHIED
IL
01
—
363472580
FEDERAL TAX ID
IL
Enumeration date
02/01/2006
Last updated
11/06/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up