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Dr. Dale R Chilson, DO
Facial Plastic Surgery Physician in Peru, Illinois
NPI 1235141664

Dale R Chilson is a Facial Plastic Surgery Physician based in Spring Valley, IL and is specialized in Facial Plastic Surgery. Dale R Chilson practices in Peru, IL and has the professional credentials of DO. The NPI Number for Dale R Chilson is 1235141664 and holds a License No. 036096113 (Illinois).

The current practice location address for Dale R Chilson is 4040 Progress Blvd, Peru, IL and can be reached out via phone at 815-224-3040 and via fax at 815-224-4327.

Location: 4040 Progress Blvd, Peru, IL, 61362-1512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235141664
Provider Name
Dale R Chilson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4040 Progress Blvd, Peru, IL, 61362-1512
Phone Number
815-224-3040
Fax Number
815-224-4327
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036096113 05 IL
institution
Provider Business Practice Location Address Details
Address
4040 Progress Blvd
City
Peru
State
Illinois
Zip
61354-1124
Phone Number
815-224-3040
Fax Number
815-224-4327
person
Provider Business Mailing Address Details
Address
4040 Progress Blvd
City
Peru
State
Illinois
Zip
61354-1124
Phone Number
815-224-3040
Fax Number
815-224-4327
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
036096113 (Illinois)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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