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General NPI Number Information
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NPI Number | 1922967983
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Entity Type | Organization
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Legal Business Name | CHASS VENTURES PLLC DBA PEAK PERFORMANCE HEALTH & WELLNESS
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 109 LOU ANN DR
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City | HERRIN
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State | IL
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Zip | 62948-3733
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Country | US
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Telephone | 618-727-5532
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Fax |
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Provider Business Mailing Address
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Address Line | 109 LOU ANN DR
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City | HERRIN
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State | IL
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Zip | 62948-3733
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Country | US
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Telephone | 618-727-5532
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PROVIDER
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Name | CHASSIDY KITTLE
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Credential | FPA-APRN
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Telephone | 618-727-5532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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