Individual
DR. CHARLES ANTHONY MCBROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1029 HOWARD ST STE 203, EVANSTON, IL 60202-3877
(847) 491-0660
Mailing address
1029 HOWARD ST STE 203, EVANSTON, IL 60202-3877
(847) 491-0660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026519
IL
Other
Enumeration date
03/02/2007
Last updated
11/12/2009
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