Individual
WILLIAM CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(516) 491-9153
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.084573
IL
Other
Enumeration date
04/06/2023
Last updated
07/31/2024
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