Individual
DR. CORPIA CHANTLE KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9245 CALUMET AVE, STE 100A, MUNSTER, IN 46321-2821
(866) 375-3937
(312) 488-3637
Mailing address
100 ILLINOIS ST, STE 200, SAINT CHARLES, IL 60174-1867
(312) 608-9917
(312) 488-3637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01072345A
IN
207R00000X
Internal Medicine Physician
Primary
036-129521
IL
207R00000X
Internal Medicine Physician
125.056055
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129521
—
IL
Enumeration date
08/24/2009
Last updated
05/28/2020
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