Individual
CHARLES R MARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 W. UNIVERSITY AVENUE, OTOLARYNGOLOGY, URBANA, IL 61801
(217) 383-3130
(217) 383-4451
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
(217) 383-4451
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-056584
IL
Other
Enumeration date
01/29/2006
Last updated
06/11/2012
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