Chan, Eunice
Chan, Eunice is an individual health care provider with primary practice located at 1010 Lake St Suite 500, Oak Park IL 60301-1147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chan, Eunice can be contacted via phone (708) 524-8600.Contact Information
Primary practice address
1010 Lake St Suite 500
Oak Park IL 60301-1147
Phone: (708) 524-8600
Fax: (708) 524-8147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-137660 | Illinois |
Profile Details
| NPI number | 1770847766 |
|---|---|
| LBN Legal business name | Chan, Eunice |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2012 |
| Last updated | Feb 18th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770847766 | NPPES |
| Illinois | MEDICAID | 036137660 |
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