Search › Illinois › 207R00000X
Charles Boley
NPI 1912126640 · on the registry since 2007
Practice
- Address
- 10 Saint Clare Ct Ste 100
Washington, IL 61571 - Phone
- (309) 886-4000
- Fax
- (309) 886-4118
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208000000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-06
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