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Individual

DR. BERNARD R CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 SPRINGFIELD AVE, JOLIET, IL 60435
(815) 630-5119
(815) 630-3126
Mailing address
PO BOX 53, WHEATON, IL 60187-0053
(815) 630-5119

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036121755
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036121755
STATE LICENSED
IL
Enumeration date
09/29/2008
Last updated
06/07/2019
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