Individual
MR. CHUCK C. BUGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
311 W. SPRING ST., ANNA, IL 62906
(618) 353-7180
Mailing address
311 W. SPRING ST., ANNA, IL 62906
(618) 353-7180
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
IL
Other
Enumeration date
04/18/2007
Last updated
07/26/2007
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