Individual
DR. STEPHEN J CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W MCKINLEY AVE, ENTA ALLERGY, HEAD & NECK INSTITUTE, DECATUR, IL 62522
(217) 876-3682
(217) 876-3345
Mailing address
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526-4163
(217) 876-2868
(217) 876-2874
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036058535
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058535
—
IL
Enumeration date
04/27/2006
Last updated
08/20/2014
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