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Individual
DR. MATTHEW RAY CHENAULT
Active
Individual
DR. MATTHEW RAY CHENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0332010
BCBS
IL
05
—
038009435
—
IL
01
—
109433
GHP
IL
01
—
412192761
TAX ID
IL
01
—
466637
HEALTHLINK
IL
01
—
51316
CIGNA
IL
01
—
DE3519
RR MEDICARE GROUP
IL
01
—
P00287309
RR MEDICARE
IL
Enumeration date
10/16/2006
Last updated
06/05/2008
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