Individual
DR. KIMBERLY KARSHUE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5131 N LINCOLN AVE, CHICAGO, IL 60625-2585
(773) 271-5596
Mailing address
2007 W CHURCHILL ST, APT 407, CHICAGO, IL 60647-6027
(312) 927-6374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028001
IL
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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