Individual
DR. RANDY MICHAEL CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
109 BRIDGE ST STE 201, DANVILLE, VA 24541-1222
(434) 799-4488
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2529
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036145339
IL
Other
Enumeration date
06/13/2014
Last updated
07/21/2022
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