Individual
CHARLES MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 W WAR MEMORIAL DR # BU07, PEORIA, IL 61613-1000
(313) 287-5664
Mailing address
2123 W SHERMAN AVE, WEST PEORIA, IL 61604-5604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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