Individual
JESSICA WEI-YEE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2011 N ROAN ST, JOHNSON CITY, TN 37601-3130
Mailing address
834 W MONTROSE AVE UNIT 401, CHICAGO, IL 60613-1994
(909) 319-8635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011197
IL
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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