Individual provider · Type 1 NPI

Charles Arthur Egner Ii, B.S.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · New Lenox, IL

NPI number 1114333259 Active

About NPI 1114333259

Charles Arthur Egner Ii, B.S.'s National Provider Identifier is 1114333259, issued on Jul 9, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in New Lenox, IL. The record was last updated on Jul 9, 2014.