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1982928404
JERRY CHAN
ELGIN, IL
NPI
1982928404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209008110)
Enumeration Date
2010-03-26
Last Update Date
2010-04-08
Business Address
JERRY CHAN FNP-BC
1425 N RANDALL RD
ELGIN, IL 60123-2300
Phone number: 847-742-9800
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Mailing Address
JERRY CHAN FNP-BC
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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