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NPI Code Detail

MEDICARE: CHAD JOSEPH DEFRAIN MD

MEDICARE: CHAD JOSEPH DEFRAIN MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician036115320IL

General Provider Information

NPI Number : 1962511931
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD JOSEPH DEFRAIN MD
Provider Business Mailing Address
First Line : 227 S 7TH ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62701-1602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 E CARPENTER ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62769-1000
Country : US
Telephone Number : 217-544-6464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/02/2023

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