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NPI Code Detail

MEDICARE: DR. CHARLES MILTON SHEAFF MD

MEDICARE: DR. CHARLES MILTON SHEAFF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician036053603IL

General Provider Information

NPI Number : 1609873249
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES MILTON SHEAFF MD
Provider Business Mailing Address
First Line : 1600 W WALNUT ST
Second Line : EAST WING 2ND FLOOR
City : JACKSONVILLE
State : IL
Zip : 62650-1136
Country : US
Telephone Number : 217-479-5821
Fax Number : 217-243-7406
Provider Business Practice Location Address
First Line : 1600 W WALNUT ST
Second Line : EAST WING 2ND FLOOR
City : JACKSONVILLE
State : IL
Zip : 62650-1136
Country : US
Telephone Number : 217-479-5821
Fax Number : 217-243-7406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 06/08/2009

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Directions to “ DR. CHARLES MILTON SHEAFF MD” Practice Location

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