Individual
DR. CHAD ALLEN PURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(813) 281-8115
(813) 281-8656
Mailing address
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(724) 433-1645
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
125060058
IL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
036.135966
IL
Other
Enumeration date
06/22/2011
Last updated
09/04/2019
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