Individual
CHARLES D GHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-2437
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0116024932
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036.143007
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.143007
MEDICAL LICENSE
IL
Enumeration date
04/30/2012
Last updated
05/07/2021
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