JAN LEI IWATA

CHICAGO, IL
NPI1922177351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: IL  036-105234)
Additional Taxonomies204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: CA  7541)
207W00000X Ophthalmology
(Licence: CA  7541)
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: CA  7541)
207W00000X Ophthalmology
(Licence: IL  036-105234)
204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: IL  036-105234)
Enumeration Date2006-11-07
Last Update Date2014-01-08
Business Address
Dr. JAN LEI IWATA DO
1 E SUPERIOR ST 307
CHICAGO, IL 60611-2507
Phone number: 773-501-7394
Mailing Address
Dr. JAN LEI IWATA DO
4600 N CLARENDON AVE 1202
CHICAGO, IL 60640-5710
Phone number: 773-501-7394