Individual
MR. DANIEL CHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 S. 6TH ST, MONMOUTH, IL 61462
(309) 734-8428
Mailing address
331 S 6TH ST, MONMOUTH, IL 61462-2327
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
000970707
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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