Organization
ST. JOHN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD ALLEN HARGROVE M.D. (DR)
(513) 315-2525
Entity
Organization
Contact information
Practice address
301 N 8TH ST, SPRINGFIELD, IL 62701-1041
(217) 545-0003
Mailing address
PO BOX 19658, SPRINGFIELD, IL 62794-9658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125-064298
IL
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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