Individual
ELLEN M CHAPMAN POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 N WASHINGTON ST, SUITE 2, DU QUOIN, IL 62832-1403
(618) 542-2129
(618) 542-2903
Mailing address
354 US ROUTE 51, DU QUOIN, IL 62832-4211
(618) 542-6272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209004233
IL
363LF0000X
Family Nurse Practitioner
209004233
IL
Other
Enumeration date
03/16/2006
Last updated
11/02/2009
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