Individual
NAVANEET S CHAILERBORISUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
4600 30TH ST, ROCK ISLAND, IL 61201-7038
(309) 788-5524
(309) 788-9550
Mailing address
4600 30TH ST, ROCK ISLAND, IL 61201-7038
(309) 788-5524
(309) 788-9550
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-097565
IL
207W00000X
Ophthalmology Physician
32999
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097565
—
IL
05
—
1525816
—
IA
Enumeration date
11/02/2005
Last updated
06/15/2010
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