Charles Morthland, ILLINOIS LICENSE # 0

NPI 1669488664 · on the registry since 2006

Practice

Address: 19 W Frankfort Plz
West Frankfort, IL 62896
Phone: (618) 937-2492
Fax: (618) 937-3418
Organisation at this address: Northland Hearing Centers, Inc.
Southern Illinois Surgical Appliance Co
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 237700000X
237700000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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