Individual
CHARLES ROBERT SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
118 TIMBER TRL, CARTERVILLE, IL 62918-2377
(309) 370-1356
Mailing address
118 TIMBER TRL, CARTERVILLE, IL 62918-2377
(309) 370-1356
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041281095
IL
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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