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Individual

DR. EUNICE CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1010 LAKE ST, SUITE 500, OAK PARK, IL 60301-1147
(708) 524-8600
(708) 524-8147
Mailing address
1010 LAKE ST, SUITE 500, OAK PARK, IL 60301-1147
(708) 524-8600
(708) 524-8147

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-137660
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036137660
IL
Enumeration date
06/25/2012
Last updated
02/18/2016
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