| Allen Edward Chantelois, MD | |
| 325 N Commercial St, Neenah, WI 54956-2665 | |
| (920) 722-1583 | |
| (920) 722-7454 | 
| Full Name | Allen Edward Chantelois | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 325 N Commercial St, Neenah, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477539450 | NPI | - | NPPES | 
| 32046700 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35128 (Wisconsin) | Primary | 
| Entity Name | Radiology Associates Of The Fox Valley Sc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477539443 PECOS PAC ID: 0446152748 Enrollment ID: O20040127000011 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Allen Edward Chantelois, MD 325 N Commercial St, Neenah, WI 54956-2665 Ph: (920) 722-1583 | Allen Edward Chantelois, MD 325 N Commercial St, Neenah, WI 54956-2665 Ph: (920) 722-1583 | 
| Paul A. Larson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
| Timothy H. Seline, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
| Katrina A. Rosculet, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
| Rudolph Y. Lin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
| Jolanta B Norelli, MD/PHD Radiology Medicare: Medicare Enrolled Practice Location: 333 N Commercial St Ste 100, Neenah, WI 54956 Phone: 920-722-1840 | |
| Audrey E Nolten, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
| Hong Xie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 N Commercial St, Neenah, WI 54956 Phone: 920-738-2000 |