Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON BLAKE CHADWELL, M.D.
ActiveJON BLAKE CHADWELL, M.D. is a Facial Plastic Surgery healthcare provider located in SOUTH BEND, Indiana. NPI 1255380903 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · SOUTH BEND, IN
Registration Details
- NPI Number
- 1255380903
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2006 (20.27515738671 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
01061815A (IN)43615 (CO)35 085143 (OH)39547 (KY)
Practice Information
- Address
-
6301 UNIVERSITY COMMONSSUITE 360SOUTH BEND, IN, 466351571Browse IN providers · Browse ZIP 46635
- Phone
- 5742324800
- Fax
- 5742804810
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Facial Plastic Surgery
- Additional Specialty
- Facial Plastic Surgery
- Additional Specialty
- Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.