Organization
A.P. CHARLES NEUROMYOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIDEMI CHARLES D.N. (OWNER)
(773) 312-2659
Entity
Organization
Contact information
Practice address
3620 N PINE GROVE AVE, 508, CHICAGO, IL 60613-4552
(773) 312-2659
Mailing address
3620 N PINE GROVE AVE, 508, CHICAGO, IL 60613-4552
(773) 312-2659
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
181000377
IL
Other
Enumeration date
01/23/2013
Last updated
06/03/2013
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