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1376282467
JAMES FAN
CHICAGO, IL
NPI
1376282467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125.080178)
Enumeration Date
2022-05-27
Last Update Date
2022-05-27
Business Address
-- JAMES FAN
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637-1443
Phone number: 773-702-6760
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Mailing Address
-- JAMES FAN
150 HARVESTER DR STE 300
BURR RIDGE, IL 60527-5965
Phone number: 773-702-1150
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