WALLACE CHAN

CHICAGO, IL
NPI1053360735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046-008575)
Enumeration Date2006-05-09
Last Update Date2008-11-11
Business Address
-- WALLACE CHAN O.D.
2126A S ARCHER AVE
CHICAGO, IL 60616-1514
Phone number: 312-949-1888
Mailing Address
-- WALLACE CHAN O.D.
2126A S ARCHER AVE
CHICAGO, IL 60616-1514
Phone number: 312-949-1888
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