Individual
JUN LIANG TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3411 S WOOD ST, CHICAGO, IL 60608-6821
(773) 807-2299
Mailing address
3411 S WOOD ST, CHICAGO, IL 60608-6821
(773) 807-2299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.304283
IL
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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