Individual
CONNIE D CHAPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 N HARLEM AVE, SUITE 309, OAK PARK, IL 60302-1205
(708) 386-4411
Mailing address
PO BOX 6370, RIVER FOREST, IL 60305-6370
(708) 386-4411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036071002
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036 071002
—
IL
01
—
31602115
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/21/2007
Last updated
01/20/2015
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