Search › Illinois › 363A00000X
Jenifer Chambless, PA-C
NPI 1962549790 · on the registry since 2007
Practice
- Address
- 300 W Oak St
Carbondale, IL 62901 - Phone
- (618) 536-6621
- Fax
- (618) 453-1102
- Organisation at this address
- Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Additional practice sites
- 305 W Jackson St, Carbondale, IL
- 300 W Oak St Ste 100, Carbondale, IL
- 2553 Ken Gray Blvd, West Frankfort, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois