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Individual
SUZANNE CHAN
Active
Individual
SUZANNE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP,FNP-BC, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277000615
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277000615
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154187433
GROUP NPI
IL
Enumeration date
12/07/2016
Last updated
09/06/2024
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