Search › Illinois › 101YM0800X
Charles Brandon
NPI 1265274203 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1120 Ontario St Apt 203
Oak Park, IL 60302 - Phone
- (773) 977-6880
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 171400000X
- Sex
- Male
- Record last updated
- 2024-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois