Active NPI
John a.Chanasue, M.D.LTD
- Medical Specialty Clinic/Center
- Alton, IL
National Provider Identifier
1700065398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.