Chan, Tom

Chan, Tom is an individual health care provider with primary practice located at 5607 S Pulaski Rd , Chicago IL 60629-4419. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chan, Tom can be contacted via phone (773) 585-1980.

Contact Information

Primary practice address
5607 S Pulaski Rd Chicago IL 60629-4419
Phone: (773) 585-1980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1407845936
LBN Legal business name Chan, Tom
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 13th, 2026 - about 3 months 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.

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