Individual
CHARLES EGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-4144
Mailing address
5100 RELIABLE PKWY, CHICAGO, IL 60686-0001
(309) 672-4809
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008414
HEALTH ALLIANCE
IL
05
—
0360428782
—
IL
01
—
623719
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
7777E
RAILROAD MEDICARE
IL
01
—
IL0148
JOHN DEERE
IL
Enumeration date
07/28/2006
Last updated
07/08/2007
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