| Vittal V Chapa Md Sc | |
|
138 E Dean St Virden IL 62690-1446 | |
| (217) 965-5481 | |
| (217) 965-5640 |
| Full Name | Vittal V Chapa Md Sc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 138 E Dean St, Virden, Illinois |
| Authorized Official Name and Position | Vittal Venkata Chapa (PRESIDENT) |
| Authorized Official Contact | 2179655481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vittal V Chapa Md Sc 138 E Dean St Virden IL 62690-1446 Ph: (217) 965-5481 | Vittal V Chapa Md Sc 138 E Dean St Virden IL 62690-1446 Ph: (217) 965-5481 |
| NPI Number | 1659685329 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659685329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036052159 (Illinois) | Primary |
Carlinville Area Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 N Springfield St, Virden, IL 62690 Phone: 217-854-3819 Fax: 217-965-7113 |