A R CHAVEZ MD SC
Medical Practice at Governors Dr, Olympia Fields, IL

License number
Illinois 036049451
Category
Medical Practice
Type
Neurological Surgery
Owner
Name: DR. AUGUSTO CHAVEZ M.D.
Title: PRESIDENT
Phone: (708) 283-7100
Address
Address
20060 Governors Dr SUITE 300, Olympia Fields, IL 60461
National Provider ID: 1295138857
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AUGUSTO R. CHAVEZ, M.D., S.C

Olympia Fields, IL 60461

Status:
Inactive
Registration:
Oct 14, 1976
State ID:
51005481
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Augusto R Chavez,20060 Governors Hwy, Olympia Fields, IL 60461 (Physical)

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