Chad Ermis DO

NPI 1588894018 - Pain Medicine - 208VP0014X

NPI Details
NPI 1588894018
Gender Male
Enumeration Date 07/17/2009
Last Updated 03/25/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
2023 VADALABENE DR # 300
MARYVILLE IL, 62062-5630, US
Phone (618) 288-6722
Fax
Business Location
2023 VADALABENE DR # 300
MARYVILLE IL, 62062-5630, US
Phone (618) 288-6722
Fax
Toxanomy
Taxonomy Code 208VP0014X
License State Illinois
License Number 036.134891
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According to our database, Chad Ermis DO NPI is 1588894018, taxonomy code is 208VP0014X and license number is 036.134891, license state is located at Illinois. Chad Ermis DO physically located at 2023 Vadalabene Dr # 300, Maryville IL, 62062-5630. NPI Number Chad Ermis DO has the Individual type.

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1588894018 NPI number is provided on an as is basis without warranty of any kind. 1588894018 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Ermis DO are for informational purposes only.