Individual
DR. CHARLES RICHARD NEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 S PAULINA ST RM 302A, CHICAGO, IL 60612-7210
(312) 996-7514
(312) 996-3375
Mailing address
801 S PAULINA ST RM 302A, CHICAGO, IL 60612-7210
(312) 996-7514
(312) 996-3375
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
019.014642
IL
Other
Enumeration date
07/23/2015
Last updated
06/25/2020
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