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Individual

DR. NATHAN L CHAPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1441 N 14TH ST, MURPHYSBORO, IL 62966-2982
(618) 684-2136
Mailing address
305 E RANDOLPH ST, PINCKNEYVILLE, IL 62274-1421
(618) 357-2445

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004417
IL
Enumeration date
04/06/2007
Last updated
07/08/2007
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