Organization Active NPI

John a.Chanasue, M.D.LTD

  • Medical Specialty Clinic/Center
  • Alton, IL
National Provider Identifier
1700065398
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
JOHN A.CHANASUE, M.D.LTD
Practice address
307 Henry St
Ste 200
Alton, IL 62002-6326
Phone
(618) 462-9623
Fax
(618) 462-8591
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John A Chanasue, M.D.
Title
President
Phone
(618) 462-9623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X IL Primary

Addresses

Primary practice location

307 Henry St
Ste 200
Alton, IL 62002-6326

Mailing address

307 Henry St
Ste 200
Alton, IL 62002-6326
Phone (618) 462-9623

National Provider Directory

National Provider Directory

Locations

307 Henry St
Ste 200
Alton, IL 62002
Phone (618) 462-9623

307 Henry St
Alton, IL 62002
Phone (618) 462-9623

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1700065398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HENRY ST",
            "address_2": "STE 200",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026326",
            "telephone_number": "618-462-9623",
            "fax_number": "618-462-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HENRY ST",
            "address_2": "STE 200",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026326",
            "telephone_number": "618-462-9623",
            "fax_number": "618-462-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A.CHANASUE, M.D.LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "CHANASUE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-462-9623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.