Individual provider · Type 1 NPI

Cristina Ivette Olivas Chacon, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1477903672 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-6031 Map

Fax (314) 251-6343

Mailing address

11475 Olde Cabin Rd Ste 200
St. Louis, MO 63141-7129

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2025036598 (MO)
Body Imaging Physician 2085B0100X2025036598 (MO)
Diagnostic Radiology Physician 2085R0202X45807 (OK)
Diagnostic Radiology Physician 2085R0202XD90924 (MD)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1477903672

Cristina Ivette Olivas Chacon, MD's National Provider Identifier is 1477903672, issued on Jun 17, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Oct 6, 2025.