Individual
ELIE JEAN CHAHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 S WOODS MILL RD STE 410S, CHESTERFIELD, MO 63017-3605
(366) 857-7956
(314) 590-5959
Mailing address
340 W LINCOLN ST, SUITE 540, BELLEVILLE, IL 62220-1900
(618) 222-1430
(618) 222-4787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011020278
MO
207RG0100X
Gastroenterology Physician
036140401
IL
207RG0100X
Gastroenterology Physician
Primary
2011020278
MO
208M00000X
Hospitalist Physician
2011020278
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205082633
—
MO
Enumeration date
08/18/2008
Last updated
03/07/2019
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