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NPI 1194697565

IndividualActive

Charles Mathis

NPI 1194697565 · Driver · Flossmoor, IL

Provider details

NPI number: 1194697565
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: Yes

Practice location

1635 Princeton Rd

Flossmoor, IL 60422-1937

Phone: (202) 277-3187

More IL providers

Mailing address

1635 Princeton Rd

Flossmoor, IL 60422-1937

Registry dates

Enumerated: 2025-09-23
Last updated: 2025-09-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Charles Mathis — NPI 1194697565, Flossmoor, IL | NPI Central