Individual
MR. JAMES T CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-3311
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003671
IL
363AM0700X
Medical Physician Assistant
PA9104280
FL
Other
Enumeration date
01/12/2009
Last updated
10/27/2021
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