SearchIllinois235Z00000X

Randy Chapman

NPI 1992221667 · on the registry since 2017

Practice

Address
3200 Maryville Rd
Granite City, IL 62040
Phone
(618) 451-5826

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-08-16

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