Individual
MR. CHARLES WAYNE NEHRING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CFA/RSA
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3200
Mailing address
4919 W NEWPORT AVE, CHICAGO, IL 60641-3559
(773) 777-0081
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
238.000023
IL
246ZS0410X
Surgical Technologist
Primary
238.000023
IL
Other
Enumeration date
05/30/2009
Last updated
05/30/2009
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