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Individual

DR. JASON H CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
5140 N CALIFORNIA AVE, SUITE# G105, CHICAGO, IL 60625-3645
(773) 989-3980
(773) 989-3966
Mailing address
5140 N CALIFORNIA AVE, SUITE# G105, CHICAGO, IL 60625-3645
(773) 989-3980
(773) 989-3966

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289589
IL

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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