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Individual

DENNIS CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.071442
IL
2085R0001X
Radiation Oncology Physician
Primary
125.071442
IL
2085R0001X
Radiation Oncology Physician
4301115711
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2017
Last updated
10/23/2019
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