Individual
CHARLES C ASSELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3800 E MAIN ST, #114, ST CHARLES, IL 60174-2457
(630) 443-7200
Mailing address
525 PARKSIDE DR, ELBURN, IL 60119-8333
(630) 365-0702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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