Individual
DR. CHARLES WESLEY GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
17955 WOLF RD, ORLAND PARK, IL 60467-9427
(708) 478-3758
(708) 478-3753
Mailing address
17955 WOLF RD, ORLAND PARK, IL 60467-9427
(708) 478-3758
(708) 478-3753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289352
IL
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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