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John A.chanasue, M.d.ltd
Medical Specialty Clinic/Center in Alton, Illinois
NPI 1700065398

John A.chanasue, M.d.ltd is a Medical Specialty Clinic/Center based in Alton, IL and is specialized in Medical Specialty. John A.chanasue, M.d.ltd practices in Alton, IL. The NPI Number for John A.chanasue, M.d.ltd is 1700065398 and holds a License No. (Illinois).

The current practice location address for John A.chanasue, M.d.ltd is 307 Henry St, Alton, IL and can be reached out via phone at 618-462-9623 and via fax at 618-462-8591.

Location: 307 Henry St, Alton, IL, 62002-6326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700065398
Provider Name
John A.chanasue, M.d.ltd
Credential
Provider Entity Type
Organization
Address
307 Henry St, Alton, IL, 62002-6326
Phone Number
618-462-9623
Fax Number
618-462-8591
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
307 Henry St
City
Alton
State
Illinois
Zip
62002-6326
Phone Number
618-462-9623
Fax Number
618-462-8591
person
Provider Business Mailing Address Details
Address
307 Henry St
City
Alton
State
Illinois
Zip
62002-6326
Phone Number
618-462-9623
Fax Number
618-462-8591
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
(Illinois)
Definition
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).
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