John Anthony Chanasue, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Practice address

307 Henry St
Ste 200
Alton, IL 62002-6326

Phone

(618) 463-9623

Fax

(618) 462-8591

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972618387",
    "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": "618-463-9623",
            "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": "618-463-9623",
            "fax_number": "618-462-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANASUE",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America - Illinois SNF, LLP
• Cep America - Illinois SNF, LLP
• Christina Cephus
• Sierra Ceppenati, DPT
• Challenge Unlimited, Inc
• Allison Chancellor
• Brittney Chandler, BSW
• Kevin M Chapel, DMD
• Kourtney Cecelia Chapman, FNP
• Sarnit Charnond, M.D.

• Dermatology Physician in Alton, IL
• Providers in Alton, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.