Individual
EUGENE FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(866) 600-2273
Mailing address
840 S WOOD ST STE 920S, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.177108
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036.177108
IL
Other
Enumeration date
04/11/2012
Last updated
11/06/2025
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