Search › Illinois › 152W00000X
Charles Mccollum, O.D
NPI 1902915671 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1302 Enterprise Way
Marion, IL 62959 - Phone
- (618) 997-6922
- Fax
- (618) 993-3561
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-15
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