MEDICARE: CHARLOTTE READ

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
1	207ND0101X	MOHS-Micrographic Surgery Physician	036.175281	IL
2	207NS0135X	Procedural Dermatology Physician	036.175281	IL
3	207N00000X	Dermatology Physician	036.175281	IL

General Provider Information

NPI Number	:	1871179317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE READ

Provider Business Mailing Address
First Line	:	1519 5TH AVE N APT 3
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2962
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 E HURON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2908
Country	:	US
Telephone Number	:	312-926-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2021
Last Update Date	:	06/18/2025

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Directions to “ CHARLOTTE READ ” Practice Location

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