Individual
ELIZABETH S CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST STE 440, CHICAGO, IL 60612-3836
(312) 563-2454
Mailing address
920 W SHERIDAN RD APT 203, CHICAGO, IL 60613-5054
(224) 217-8637
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014560
IL
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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