Individual
DR. CHAVALIT ROJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 219-3318
(618) 452-3329
Mailing address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 219-3318
(618) 452-3329
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036061647
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36061647
—
IL
Enumeration date
04/01/2006
Last updated
12/09/2011
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