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General NPI Number Information
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NPI Number | 1013064864
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Entity Type | Individual
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Provider Name | JEFFREY W CHANDLER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 360 W BUTTERFIELD RD SUITE 220
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City | ELMHURST
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State | IL
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Zip | 60126-5068
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Country | US
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Telephone | 630-833-0395
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Fax | 630-833-0399
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Provider Business Mailing Address
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Address Line | 360 W BUTTERFIELD RD SUITE 220
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City | ELMHURST
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State | IL
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Zip | 60126-5068
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Country | US
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Telephone | 630-833-0395
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Fax | 630-833-0399
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 036158773
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 019026314
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License Number State | IL
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