Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES BOUCHARD, MD
ActiveCHARLES BOUCHARD, MD is a 207WX0120X healthcare provider located in MAYWOOD, Illinois. NPI 1902872393 is currently active in the NPPES registry. Verify at CMS.
207WX0120X · MAYWOOD, IL
Registration Details
- NPI Number
- 1902872393
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2006 (20.498870394549 yrs)
- Last Updated
- Oct 18, 2021
- Licenses
-
36080233 (IL)036080233 (IL)
Practice Information
- Address
-
2160 S FIRST AVE(17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)MAYWOOD, IL, 60153Browse IL providers · Browse ZIP 60153
- Phone
- 6306277399
- Fax
- 6306277079
- Primary Specialty
-
207WX0120X
207WX0120X
- Additional Specialty
- 207WX0120X
Other 207WX0120X Providers in MAYWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. TAYLOR WILLIAMSON STARNES | M.D., PH.D. | 1538546841 |
| CHRISTINA ANGELINE MAMALIS | MD | 1063876530 |
| MR. AARON DOUGLAS DOTSON | MD | 1992368344 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.