Individual
DR. CHARLES F MCKIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST, SUITE 970, CHICAGO, IL 60612-3841
(312) 563-3447
Mailing address
1725 W HARRISON ST, SUITE 970, CHICAGO, IL 60612-3841
(312) 563-3447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036034850
IL
208800000X
Urology Physician
Primary
036034850
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36034850
—
IL
Enumeration date
12/28/2005
Last updated
10/07/2015
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