Active NPI
Allen Edward Chantelois, MD
- Diagnostic Radiology Physician
- Neenah, WI
National Provider Identifier
1477539450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35128
- Practice address
- 325 N Commercial St
Neenah, WI 54956-2665 - Phone
- (920) 722-1583
- Fax
- (920) 722-7454
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35128 | WI | Primary |
Addresses
Primary practice location
325 N Commercial St
Neenah, WI 54956-2665
Mailing address
325 N Commercial St
Neenah, WI 54956-2665
Phone (920) 722-1583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32046700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35128 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of the Fox Valley, SC | Diagnostic Radiology | Current | Accepting new patients |
| LK Anderson Consulting LLC | Past | Accepting new patients |
Locations
333 N Commercial St
Ste 100
Neenah, WI 54956
Phone (920) 722-1750
325 N Commercial St
Neenah, WI 54956
Phone (920) 722-1583
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Neenah, WI
- NPI 1477539443
-
- Mental Health Counselor
- Neenah, WI
- NPI 1215401468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477539450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562665",
"telephone_number": "920-722-1583",
"fax_number": "920-722-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562665",
"telephone_number": "920-722-1583",
"fax_number": "920-722-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANTELOIS",
"first_name": "ALLEN",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "35128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32046700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.