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Search › Illinois › Licensed Practical Nurse

Charles Vineyard

NPI 1558073189 · on the registry since 2022 · sole proprietor

Practice

Address
608 Rollie Moore Dr
Harrisburg, IL 62946
Phone
(618) 252-6150
Organisation at this address
St. Louis Jc Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-14

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