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Individual

MR. ANTHONY CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
2340 W MADISON ST, CHICAGO, IL 60612-2228
(312) 226-7913
(312) 226-7926
Mailing address
820 W 36TH ST, UNIT 5, CHICAGO, IL 60609-1591
(312) 523-3892
(312) 226-7926

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.290127
IL

Other

Enumeration date
09/11/2011
Last updated
09/11/2011
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