Individual
ALLISON CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 PROFESSIONAL DR, SUITE B, ALTON, IL 62002-5067
(618) 465-7177
(618) 465-7176
Mailing address
131 SAUNDERSVILLE RD, SUITE 160, HENDERSONVILLE, TN 37075-8903
(615) 824-3737
(855) 540-4722
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
085005448
IL
363AM0700X
Medical Physician Assistant
Primary
085.005448
IL
Other
Enumeration date
04/30/2015
Last updated
07/10/2015
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