Organization
CHARLES F EDDINGFIELD MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F EDDINGFIELD MD (OWNER)
(217) 357-3715
Entity
Organization
Contact information
Practice address
25 SOUTH ADAMS STREET, CARTHAGE, IL 62321
(217) 357-3715
Mailing address
PO BOX 100, 25 SOUTH ADAMS STREET, CARTHAGE, IL 62321
(217) 357-3715
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
36038782
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161162451
—
IL
Enumeration date
10/18/2006
Last updated
08/22/2020
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