Search › Illinois › 1041C0700X
Charles Wilcox
NPI 1265831192 · on the registry since 2014 · sole proprietor
Practice
- Address
- 359 S Capitol St
Pekin, IL 61554 - Phone
- (309) 620-0881
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois