Individual
MR. CHARLES R. MORTHLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ILLINOIS LICENSE # 0
Contact information
Practice address
19 W FRANKFORT PLZ, WEST FRANKFORT, IL 62896-4964
(618) 937-2492
(618) 937-3418
Mailing address
19 W FRANKFORT PLZ, WEST FRANKFORT, IL 62896-4964
(618) 937-2492
(618) 937-3418
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0206
IL
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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