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Individual

DR. SAMSON CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
553 W 31ST ST STE 1, CHICAGO, IL 60616-4992
(773) 966-9978
Mailing address
474 N LAKE SHORE DR, APT 5206, CHICAGO, IL 60611-6494
(773) 966-9978

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301093219
MI

Other

Enumeration date
01/31/2012
Last updated
01/19/2016
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