Provider Demographics
NPI:1760781405
Name:CHANT, ROBERT II (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:CHANT
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 WILLOW SPRINGS RD
Mailing Address - Street 2:STE. 1&2
Mailing Address - City:LA GRANGE HIGHLANDS
Mailing Address - State:IL
Mailing Address - Zip Code:60525-4591
Mailing Address - Country:US
Mailing Address - Phone:708-482-9700
Mailing Address - Fax:708-482-0217
Practice Address - Street 1:6555 WILLOW SPRINGS RD
Practice Address - Street 2:STE. 1&2
Practice Address - City:LA GRANGE HIGHLANDS
Practice Address - State:IL
Practice Address - Zip Code:60525-4591
Practice Address - Country:US
Practice Address - Phone:708-482-9700
Practice Address - Fax:708-482-0217
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor