Individual
JOEL ERIC CHASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8679 CONNECTICUT STREET, SUITE A, MERRILLVILLE, IN 46410-6383
(219) 769-9022
(219) 649-2995
Mailing address
8679 CONNECTICUT STREET, SUITE A, MERRILLVILLE, IN 46410-6383
(219) 769-9022
(219) 649-2995
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01082893A
IN
207W00000X
Ophthalmology Physician
036150656
IL
207W00000X
Ophthalmology Physician
DR.0058598
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036150656
—
IL
05
—
300031137
—
IN
Enumeration date
04/09/2013
Last updated
02/04/2020
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