Individual
DR. CHARLES MATTHEW CHELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16240 PRINCE DR, SOUTH HOLLAND, IL 60473-3233
(708) 331-0011
(708) 331-0008
Mailing address
71 W 156TH STREET, SUITE 305, HARVEY, IL 60426-4264
(708) 331-0011
(815) 331-0008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036078091
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1627644
BCBS
IL
Enumeration date
01/09/2006
Last updated
01/08/2024
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