Individual
CHARLES CHRISTOPHER BROY
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) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(847) 643-6824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036126406
IL
207RG0100X
Gastroenterology Physician
Primary
036126406
IL
208M00000X
Hospitalist Physician
036126406
IL
Other
Enumeration date
02/01/2007
Last updated
09/26/2023
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