Charles, Alix J

Charles, Alix J is an individual health care provider with primary practice located at 40 S Clay St Ste Ll30 , Hinsdale IL 60521-3257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Charles, Alix J can be contacted via phone (630) 286-5050.

Contact Information

Primary practice address
40 S Clay St Ste Ll30 Hinsdale IL 60521-3257
Phone: (630) 286-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036109235 Illinois

Profile Details

NPI number 1902891377
LBN Legal business name Charles, Alix J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902891377 NPPES
Illinois MEDICAID 036109235
Illinois Other P00631982

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