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1174707004
SCOTT L CHANEY
EVANSTON, IL
NPI
1174707004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085000550)
Enumeration Date
2007-12-27
Last Update Date
2007-12-27
Business Address
Mr. SCOTT L CHANEY PAC
355 RIDGE AVE SAINT FRANCIS HOSPITAL PHYSICIAN ASSISTANCE
EVANSTON, IL 60202-3328
Phone number: 847-316-6370
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Mailing Address
Mr. SCOTT L CHANEY PAC
947 HARRIS RD
GRAYSLAKE, IL 60030-3549
Phone number: 847-316-3149
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