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Contact Information

PIERRE S CHARLES, MD
1025 MAINE ST
QUINCY, IL62301-4038
 Phone: 217-222-6550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PIERRE S CHARLES · (Male)

NPI # 1457369480
Status Active
Credentials MD
Entity Individual
Enumeration date 08/04/2006
Last updated 11/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-119853
  • WI License # 37422020
  • WI Medicaid 1457369480
  • Other 11205 DEAN HEALTH PLAN HMO
Hospital affiliation(s)
  • BLESSING HOSPITAL - (Acute Care)
    BROADWAY AT 11TH STREET
    QUINCY, IL 62301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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