Provider Demographics
NPI:1366495608
Name:LUDMER, CHARLES HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:HENRY
Last Name:LUDMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:368 FOSS CT
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-2753
Mailing Address - Country:US
Mailing Address - Phone:847-295-0909
Mailing Address - Fax:847-295-3636
Practice Address - Street 1:725 N MCKINLEY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-5508
Practice Address - Country:US
Practice Address - Phone:847-295-0909
Practice Address - Fax:847-295-3636
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry