Individual
MICHELLE JOLIE CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, 185W, OAK LAWN, IL 60453-2600
(708) 684-5375
(708) 684-1028
Mailing address
4440 W 95TH ST, 185W, OAK LAWN, IL 60453-2600
(708) 684-5375
(708) 684-1028
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.132271
IL
Other
Enumeration date
07/05/2010
Last updated
11/21/2014
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