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General NPI Number Information
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NPI Number | 1891802096
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Entity Type | Individual
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Provider Name | ALAN Y CHOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 386 PENNSYLVANIA AVE STE 3N
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City | GLEN ELLYN
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State | IL
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Zip | 60137-4323
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Country | US
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Telephone | 630-858-4411
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Fax | 630-858-4793
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Provider Business Mailing Address
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Address Line | 191 PALAMINO PL
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City | WHEATON
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State | IL
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Zip | 60187-1024
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Country | US
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Telephone | 630-690-7363
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Fax | 630-690-7584
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | IL
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