Individual
ALEXIS JULIE LIBRE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Mailing address
12553 MEADOW CIR, LAKE BLUFF, IL 60044-1173
(847) 482-9422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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