Theodore James Chapin, PHD is a
Marriage & Family Therapist based in Peoria, Illinois. Theodore James Chapin is licensed to practice in Illinois (license number ) and his current practice location is
4940 N Weaverridge Blvd, Peoria, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 689-0681.
NPI number for Theodore James Chapin is 1255393039 and his current mailing address is 4940 N Weaverridge Blvd, Peoria, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255393039.
Healthcare Provider's Profile
Full Name | Theodore James Chapin |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 4940 N Weaverridge Blvd, Peoria, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255393039
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Theodore James Chapin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255393039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
106H00000X | Marriage & Family Therapist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore James Chapin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theodore James Chapin, PHD 4940 N Weaverridge Blvd, Peoria, IL 61615-8910 Ph: (309) 689-0681 | Theodore James Chapin, PHD 4940 N Weaverridge Blvd, Peoria, IL 61615-8910 Ph: (309) 689-0681 |
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