JOHN ANTHONY CHANASUE

ALTON, IL
NPI1972618387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036-060164)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
-- JOHN ANTHONY CHANASUE M.D.
307 HENRY ST STE 200
ALTON, IL 62002-6326
Phone number: 618-463-9623
Mailing Address
-- JOHN ANTHONY CHANASUE M.D.
307 HENRY ST STE 200
ALTON, IL 62002-6326
Phone number: 618-463-9623