Free National NPI Number Registry
Michelle Chan
Home > Michelle Chan
NPI Number Detailed Information
Provider Information:
Name: | Michelle Chan |
Gender: | F |
Provider License Number If Given: |
NPI Information:
NPI: | 1942294442 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 9/12/2005 |
Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
Address: | 3241 S MICHIGAN AVE Chicago, IL 60616 |
Phone Number: | 3129497000 |
Fax Number: | 3129497642 |
Provider Business Practice Location Address:
Address: | 3241 S MICHIGAN AVE Chicago, IL 60616 |
Phone Number: | 3122256200 |
Fax Number: | 3129497660 |
Provider Taxonomy:
Primary: | 152W00000X |
Secondary (if any): | |
State: | IL |