CHEN YANG KUAN

MAYWOOD, IL
NPI1366869414
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125066058)
Enumeration Date2014-03-26
Last Update Date2014-09-25
Business Address
-- CHEN YANG KUAN
2160 S 1ST AVE LOYOLA OUTPATIENT CENTER, 4300
MAYWOOD, IL 60153-3328
Phone number: 708-216-6006
Mailing Address
-- CHEN YANG KUAN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: