Dave, Chirag

Dave, Chirag is an individual health care provider with primary practice located at 209 Crossroads Pl Suite 110, Mount Vernon IL 62864-6545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Dave, Chirag can be contacted via phone (618) 241-8791.

Contact Information

Primary practice address
209 Crossroads Pl Suite 110 Mount Vernon IL 62864-6545
Fax: (618) 241-8623
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036103078 Illinois

Profile Details

NPI number 1790725307
LBN Legal business name Dave, Chirag
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790725307 NPPES
South Carolina MEDICAID 280207
South Carolina MEDICAID 5901672
South Carolina MEDICAID 371334126286402

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