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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN ANTHONY CHANASUE, M.D.

Active Sole Proprietor

JOHN ANTHONY CHANASUE, M.D. is a Dermatology healthcare provider located in ALTON, Illinois. NPI 1972618387 is currently active in the NPPES registry. Verify at CMS.

Dermatology · ALTON, IL

Registration Details

NPI Number
1972618387
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2006 (20.014557044103 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
307 HENRY ST
STE 200
ALTON, IL, 620026326
Browse IL providers · Browse ZIP 62002
Phone
6184639623
Fax
6184628591
Primary Specialty
Dermatology
207N00000X
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.