Individual
JAY K. CHAUHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
207 LANDMARK DR, NORMAL, IL 61761-3195
(309) 268-3200
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036086823
IL
207YS0123X
Facial Plastic Surgery Physician
036086823
IL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
036086823
IL
Other
Enumeration date
08/10/2005
Last updated
05/19/2022
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