Individual
DR. ALAN S JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2015 N MAIN ST, WHEATON, IL 60187-3190
(630) 668-8250
(630) 668-8916
Mailing address
2015 N MAIN ST, WHEATON, IL 60187-3152
(630) 668-8250
(630) 668-8916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-010441
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046-010441
—
IL
Enumeration date
08/19/2011
Last updated
08/29/2024
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