Individual
CHAD ALLEN NOGGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 224-4453
(217) 224-9383
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
(217) 277-3960
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042289A
IN
Other
Enumeration date
03/26/2009
Last updated
07/03/2024
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