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Individual

DR. CHRIS E CHERNESKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-9729
(417) 820-6471
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2000146674
MO
2085R0202X
Diagnostic Radiology Physician
MD27325
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140156001
AR
01
173098
MO BLUE SHIELD
MO
05
204880900
MO
01
98449
ARK BLUE SHIELD
AR
Enumeration date
02/02/2007
Last updated
12/03/2024
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