Individual
CHANTAL WAHBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 N 4TH STREET, SPRINGFIELD, IL 62702
(217) 757-8197
Mailing address
520 N 4TH STREET, SPRINGFIELD, IL 62702
(217) 757-8197
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
07/16/2024
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