Vittal V Chapa Md Sc | |
138 E Dean St Virden IL 62690-1446 | |
(217) 965-5481 | |
(217) 965-5640 |
Full Name | Vittal V Chapa Md Sc |
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Speciality | Clinic/center - Primary Care |
Location | 138 E Dean St, Virden, Illinois |
Authorized Official Name and Position | Vittal Venkata Chapa (PRESIDENT) |
Authorized Official Contact | 2179655481 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vittal V Chapa Md Sc 138 E Dean St Virden IL 62690-1446 Ph: (217) 965-5481 | Vittal V Chapa Md Sc 138 E Dean St Virden IL 62690-1446 Ph: (217) 965-5481 |
NPI Number | 1659685329 |
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Provider Enumeration Date | 08/04/2010 |
Last Update Date | 05/15/2012 |
Identifier | Type | State | Issuer |
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1659685329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 036052159 (Illinois) | Primary |