CHARLES F EDDINGFIELD MD; NPI #1619058278

Contact Information

CHARLES F EDDINGFIELD MD

25 SOUTH ADAMS STREET
CARTHAGE, IL 62321

Phone: 217-357-3715
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for CHARLES F EDDINGFIELD MD

NPI # 1619058278

LBN Legal business name CHARLES F EDDINGFIELD MD

Authorized official CHARLES EDDINGFIELD - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/18/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

IL	License #	36038782
IL	Medicaid	0161162451

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CHARLES F EDDINGFIELD MD

Contact Information

Specialty

General Practice

NPI Profile & details for CHARLES F EDDINGFIELD MD

Reviews for CHARLES F EDDINGFIELD MD