Organization
CHARLES MATT CHELICH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MATTHEW CHELICH D.O. (OWNER/PHYSICIAN)
(708) 331-0011
Entity
Organization
Contact information
Practice address
16240 PRINCE DR, SOUTH HOLLAND, IL 60473-3233
(708) 331-0011
(708) 331-0008
Mailing address
16240 PRINCE DR, SOUTH HOLLAND, IL 60473-3233
(708) 331-0011
(708) 331-0008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036078091
IL
Other
Enumeration date
08/24/2009
Last updated
01/08/2024
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