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1043957517
ISRAELLA CHAN
CHICAGO, IL
NPI
1043957517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL 125.079930)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
ISRAELLA CHAN MD
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622-3507
Phone number: 312-770-2040
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Mailing Address
ISRAELLA CHAN MD
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622-3507
Phone number: 312-770-2040
Copy
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