Mr. Charles Arthur Egner II, BS

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1114333259

Mr. Charles Arthur Egner II, BS is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Lenox, Illinois. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since: 2014

What do these letters mean?

BS — Bachelor of Science: An undergraduate science degree.

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Practice location Address checks out

301 Veterans Pkwy
New Lenox, IL 60451-2899
Phone: (815) 717-3770
Fax: (815) 717-3779

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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X

Record details

NPI number	1114333259
Entity type	Individual (Type 1)
Gender	Male
Credentials	BS
Sole proprietor	Yes
NPI enumerated	July 9, 2014
Last updated in NPPES	July 9, 2014