Organization
DR.CHARLES CLIFFORD ALSTON SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALSTON (DOCTOR)
(773) 779-2801
Entity
Organization
Contact information
Practice address
2017 W 95TH ST, CHICAGO, IL 60643-1115
(773) 779-2280
Mailing address
2017 W 95TH ST, CHICAGO, IL 60643-1115
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
03/31/2016
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