Search › Illinois › 372500000X
Charles Kinney
NPI 1568262525 · on the registry since 2025 · sole proprietor
Practice
- Address
- 112 W Park St Apt 1e
Elwood, IL 60421 - Phone
- (815) 540-2875
Registry record
- Primary taxonomy
- 372500000X
372500000X
- Also registered as
- 251V00000X
311ZA0620X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-18
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