Polcaster, Charles R

Polcaster, Charles R is an individual health care provider with primary practice located at 7804 W College Dr 2Ne, Palos Heights IL 60463-1025. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Polcaster, Charles R can be contacted via phone (708) 448-0884.

Contact Information

Primary practice address
7804 W College Dr 2Ne Palos Heights IL 60463-1025
Phone: (708) 448-0884
Fax: (708) 448-0594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180000331 Illinois

Profile Details

NPI number 1811067408
LBN Legal business name Polcaster, Charles R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Mar 11th, 2014 - about 12 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 1811067408 NPPES
Illinois Other 01632157 BLUE CROSS BLUE SHIELD

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