JIMMY CHAN

CHICAGO, IL
NPI1437494127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149012281)
Enumeration Date2012-12-06
Last Update Date2012-12-06
Business Address
-- JIMMY CHAN LCSW, LPHA
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number: 773-371-2925
Mailing Address
-- JIMMY CHAN LCSW, LPHA
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number: