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Individual

DR. JOSEPH WILLIAM CHESSARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525-2600
(708) 352-1200
Mailing address
2000 SPRING RD, SUITE 200, OAK BROOK, IL 60523-1804
(630) 472-8800
(630) 472-9502

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1636444
BCBS
IL
01
2215114
BCBS PROVIDER ID
01
P00312639
RR MEDICARE ID -WOMRI
IL
Enumeration date
07/21/2006
Last updated
10/19/2007
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