Individual
JOHN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
678 N WELLS ST, CHICAGO, IL 60654-3717
(312) 255-0425
Mailing address
880 W 27TH ST APT C, CHICAGO, IL 60608-5942
(312) 823-5020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051303465
IL
Other
Enumeration date
11/06/2020
Last updated
02/09/2021
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