Individual
DR. CHRISTOPHER TSEUNMUN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4039 W NORTH AVE, CHICAGO, IL 60639-5219
(773) 782-4800
Mailing address
430 W ERIE ST STE 200, CHICAGO, IL 60610-6920
(920) 838-1649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027611
IL
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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