Individual
MS. JAIMIE J CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 W GRANVILLE AVE, APT 503, CHICAGO, IL 60660-5200
(989) 309-0691
Mailing address
1040 W GRANVILLE AVE, APT 503, CHICAGO, IL 60660-5200
(989) 309-0691
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/24/2011
Last updated
09/16/2015
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