Individual
DR. CHARLES PAUL BARSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 GREEN BAY RD, MEDICAL SERVICE, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Mailing address
4300 N DAMEN AVE, CHICAGO, IL 60618-1706
(773) 472-6037
(847) 578-3320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036055716
IL
Other
Enumeration date
08/23/2006
Last updated
09/19/2008
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