Individual
CHIRAG DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 CROSSROADS PL, SUITE 110, MOUNT VERNON, IL 62864-6545
(618) 241-8791
(618) 241-8623
Mailing address
209 CROSSROADS PL, SUITE 110, MOUNT VERNON, IL 62864-6545
(618) 241-8791
(618) 241-8623
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036103078
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280207
—
SC
05
—
371334126286402
—
IL
05
—
5901672
—
NC
Enumeration date
06/08/2006
Last updated
11/08/2024
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