Organization · Type 2 NPI

John A.chanasue, M.d.ltd

Medical Specialty Clinic/Center · Alton, IL

NPI number 1700065398 Active

Practice location

307 Henry St, Ste 200
Alton, IL 62002-6326

Fax (618) 462-8591

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

6 other providers at this address

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About NPI 1700065398

John A.chanasue, M.d.ltd's National Provider Identifier is 1700065398, issued on Oct 31, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Alton, IL. The record was last updated on Oct 31, 2007.