MEDICARE: JILLIAN CHAPMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AT006715	PA

General Provider Information

NPI Number	:	1235742370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN CHAPMAN

Provider Business Mailing Address
First Line	:	2315 CHESTNUT RIDGE DR
Second Line	:	SUITE 300
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-4723
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	658 WASHINGTON RD
Second Line	:	SUITE 300
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1915
Country	:	US
Telephone Number	:	341-222-1412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	06/15/2021

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Directions to “ JILLIAN CHAPMAN ” Practice Location

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