Kimmy Chan

NPI #1134404528 in Addison, Illinois

Provider Information

NPI Number: 1134404528
Entity Type: Individual
Name: Kimmy Chan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 17, 2011
Last Updated: Oct 17, 2011

Practice Location

Address: 16 E LAKE ST
City: Addison
State: Illinois
ZIP Code: 60101-2819
Phone: (630) 854-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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