Individual
CHARLOTTE MAIREAD FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE # MC5068, CHICAGO, IL 60637-1443
(773) 702-9500
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.081534
IL
Other
Enumeration date
03/11/2022
Last updated
05/03/2023
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