Organization
ADVANCED INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN JAY CHASSELS D.O. (OWNER)
(618) 241-4016
Entity
Organization
Contact information
Practice address
605 N 12TH ST, HOSPITALIST OFFICE, MOUNT VERNON, IL 62864-2857
(618) 241-4016
(618) 241-3837
Mailing address
PO BOX 442, HIGHLAND, IL 62249-0442
(618) 241-4016
(618) 241-3837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036116700
IL
Other
Enumeration date
07/02/2007
Last updated
05/01/2012
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