MR. Charles Arthur Egner II, B.S.

NPI #1114333259 in New Lenox, Illinois

Provider Information

NPI Number
1114333259
Entity Type
Individual
Name
MR. Charles Arthur Egner II, B.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential
B.S.
Enumeration Date
Jul 9, 2014
Last Updated
Jul 9, 2014

Practice Location

Address
301 VETERANS PKWY
ZIP Code
60451-2899
Phone
(815) 717-3770

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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