Individual
MRS. MARJORIE C. CHARLES-DAMTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2050 CLAIRE CT, GLENVIEW, IL 60025-7635
(847) 467-7423
(847) 556-1715
Mailing address
2050 CLAIRE CT, GLENVIEW, IL 60025-7635
(630) 561-0032
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209006801
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13802190
CAQH
IL
Enumeration date
10/11/2007
Last updated
02/14/2017
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