John Anthony Chanasue, M.D.

NPI #1972618387 in Alton, Illinois

Provider Information

NPI Number: 1972618387
Entity Type: Individual
Name: John Anthony Chanasue, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Aug 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 307 HENRY ST
Address 2: STE 200
City: Alton
State: Illinois
ZIP Code: 62002-6326
Phone: (618) 463-9623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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