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NPI Code Detail

MEDICARE: DR. CHEUNG HING CHAN D.P.M

MEDICARE: DR. CHEUNG HING CHAN D.P.M
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist016004337IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952343014
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHEUNG HING CHAN D.P.M
Provider Business Mailing Address
First Line : 2143 W 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1018
Country : US
Telephone Number : 773-238-7400
Fax Number : 312-225-0818
Provider Business Practice Location Address
First Line : 2143 W 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1018
Country : US
Telephone Number : 773-238-7400
Fax Number : 312-225-0818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 01/02/2013

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