Individual
DR. CHEUNG HING CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
2143 W 95TH ST, CHICAGO, IL 60643-1018
(773) 238-7400
(312) 225-0818
Mailing address
2143 W 95TH ST, CHICAGO, IL 60643-1018
(773) 238-7400
(312) 225-0818
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004337
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004337
—
IL
Enumeration date
06/12/2006
Last updated
01/02/2013
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