Individual
ANDREW W CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7319 NORTH AVE, RIVER FOREST, IL 60305-1220
(708) 665-7000
Mailing address
7319 NORTH AVE, RIVER FOREST, IL 60305-1220
(708) 665-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025311
NY
Other
Enumeration date
07/24/2020
Last updated
01/07/2026
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