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1366869414
CHEN YANG KUAN
MAYWOOD, IL
NPI
1366869414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125066058)
Enumeration Date
2014-03-26
Last Update Date
2014-09-25
Business Address
-- CHEN YANG KUAN
2160 S 1ST AVE LOYOLA OUTPATIENT CENTER, 4300
MAYWOOD, IL 60153-3328
Phone number: 708-216-6006
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Mailing Address
-- CHEN YANG KUAN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number:
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