Dr. Dale R Chilson
Facial Plastic Surgeon
4040 Progress Blvd
Peru
, Illinois 61354-1124
Dr. Dale R Chilson
Facial Plastic Surgeon
4040 Progress Blvd
Peru
, Illinois 61354-1124
(815) 224-4327
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Dale R Chilson
- 600 E 1st St
- Spring Valley, IL
- Zip : 61362-1512
- Fax : (815) 224-4327
- Phone : (815) 224-3040
Second Address
- Dr. Dale R Chilson
- 4040 Progress Blvd
- Peru, IL
- Zip : 61354-1124
- Fax : (815) 224-4327
- Phone : (815) 224-3040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 036096113 | IL |
National Provider Identifier
| NPI | 1235141664 |
|---|---|
| Provider Name | Dr. Dale R Chilson |
| First Address | Spring Valley, IL 61362-1512 |
| Second Address | Peru, IL 61354-1124 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 25/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036096113 | (05) | IL |
| G53038 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.