Charles Upshur Nottingham M.D.

NPI 1821352428 - Urology - 208800000X

NPI Details
NPI 1821352428
Gender Male
Enumeration Date 06/27/2012
Last Updated 06/27/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
5841 S MARYLAND AVE
MC 5029
CHICAGO IL, 60637-1447, US
Phone (773) 702-0881
Fax
Business Location
5841 S MARYLAND AVE
MC 5029
CHICAGO IL, 60637-1447, US
Phone (773) 702-0881
Fax
Toxanomy
Taxonomy Code 208800000X
License State Illinois
License Number 125060815
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According to our database, Dr. Charles Upshur Nottingham M.D. NPI is 1821352428, taxonomy code is 208800000X and license number is 125060815, license state is located at Illinois. Charles Upshur Nottingham M.D. physically located at 5841 S Maryland Ave, Chicago IL, 60637-1447. NPI Number Charles Upshur Nottingham M.D. has the Individual type.

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1821352428 NPI number is provided on an as is basis without warranty of any kind. 1821352428 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Upshur Nottingham M.D. are for informational purposes only.