Advanced Internal Medicine, LLC

NPI #1508063405 in Mount Vernon, Illinois

Provider Information

NPI Number: 1508063405
Entity Type: Organization
Organization Name: Advanced Internal Medicine, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 2, 2007
Last Updated: May 1, 2012

Practice Location

Address: 605 N 12TH ST
Address 2: HOSPITALIST OFFICE
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2857
Phone: (618) 241-4016

Authorized Official

Name: DR. LOREN JAY CHASSELS, D.O.
Title: OWNER
Phone: (618) 241-4016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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