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Individual

DR. SAUL HOWARD CHAPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3200 FISHBACK ROAD, MILWOOD EXECUTIVE SUITES, CARBONDALE, IL 62901-6307
(618) 549-5043
(618) 351-1419
Mailing address
1008 W LAUREL ST, CARBONDALE, IL 62901-1154
(618) 549-5043

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0152091
NY
103G00000X
Clinical Neuropsychologist
Primary
IL
103T00000X
Psychologist
0152091
NY
103T00000X
Psychologist
07006462
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3932031
BCBSIL
IL
Enumeration date
12/29/2006
Last updated
10/25/2007
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