Individual
DR. CHARLES AYCOCK MCLENDON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9169
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036166493
IL
207L00000X
Anesthesiology Physician
125.078640
IL
Other
Enumeration date
03/29/2021
Last updated
08/20/2025
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