Ranchero Clinic, LLC
NPI #1457245029 in Charleston, Illinois
Provider Information
- NPI Number
- 1457245029
- Entity Type
- Organization
- Organization Name
- Ranchero Clinic, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 6, 2025
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- 825 18TH ST STE 238
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2940
- Phone
- (630) 696-0714
Authorized Official
- Name
- DR. BERNIE C RANCHERO, MD
- Title
- PRESIDENT
- Phone
- (630) 696-0714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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