Mckiel, Charles F

Mckiel, Charles F is an individual health care provider with primary practice located at 1725 W Harrison St Suite 970, Chicago IL 60612-3841. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Mckiel, Charles F can be contacted via phone (312) 563-3447.

Contact Information

Primary practice address
1725 W Harrison St Suite 970 Chicago IL 60612-3841
Phone: (312) 563-3447
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036034850 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 036034850 Illinois

Profile Details

NPI number 1700863057
LBN Legal business name Mckiel, Charles F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Oct 7th, 2015 - about 11 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 1700863057 NPPES
Illinois MEDICAID 36034850

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