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1053360735
WALLACE CHAN
CHICAGO, IL
NPI
1053360735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-008575)
Enumeration Date
2006-05-09
Last Update Date
2008-11-11
Business Address
-- WALLACE CHAN O.D.
2126A S ARCHER AVE
CHICAGO, IL 60616-1514
Phone number: 312-949-1888
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Mailing Address
-- WALLACE CHAN O.D.
2126A S ARCHER AVE
CHICAGO, IL 60616-1514
Phone number: 312-949-1888
Copy
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