Individual
HELEN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2455 DEAN ST, SUITE D, ST CHARLES, IL 60175-4830
(847) 708-1313
Mailing address
2455 DEAN ST, SUITE D, ST CHARLES, IL 60175-4830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025756
IL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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