Kenneth Kin Kan Chan, M.D.

NPI #1124446117 in Maywood, Illinois

Provider Information

NPI Number: 1124446117
Entity Type: Individual
Name: Kenneth Kin Kan Chan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 7, 2014
Last Updated: Sep 26, 2014

Practice Location

Address: 2160 S. FIRST AVENUE
Address 2: LOYOLA OUTPATIENT CENTER, 4300
City: Maywood
State: Illinois
ZIP Code: 60153
Phone: (708) 216-6006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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