Individual
DR. JESSICA H CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1509 S STATE ST, CHICAGO, IL 60605-2804
(630) 965-5088
Mailing address
1509 S STATE ST, CHICAGO, IL 60605-2804
(630) 965-5088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012068
IL
Other
Enumeration date
12/16/2011
Last updated
10/01/2012
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