Individual
DR. MICKEY STEVEN CHABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Mailing address
3050 MONTVALE DR, STE A, SPRINGFIELD, IL 62704-6924
(217) 726-8096
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036146753
IL
2085R0202X
Diagnostic Radiology Physician
2018018425
MO
2085R0202X
Diagnostic Radiology Physician
25502
NE
2085R0202X
Diagnostic Radiology Physician
340324
NY
2085R0202X
Diagnostic Radiology Physician
4301107866
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2008
Last updated
04/30/2026
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