JERRY CHAN

ELGIN, IL
NPI1982928404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209008110)
Enumeration Date2010-03-26
Last Update Date2010-04-08
Business Address
-- JERRY CHAN FNP-BC
1425 N RANDALL RD
ELGIN, IL 60123-2300
Phone number: 847-742-9800
Mailing Address
-- JERRY CHAN FNP-BC
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600