John Anthony Chanasue, MD | |
307 Henry St, Ste 200, Alton, IL 62002-6326 | |
(618) 463-9623 | |
(618) 462-8591 |
Full Name | John Anthony Chanasue |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 307 Henry St, Alton, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972618387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
John Anthony Chanasue, MD 307 Henry St, Ste 200, Alton, IL 62002-6326 Ph: (618) 463-9623 | John Anthony Chanasue, MD 307 Henry St, Ste 200, Alton, IL 62002-6326 Ph: (618) 463-9623 |
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