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Jerry Chan, FNP-BC

Nurse Practitioner in Elgin, IL. Individual provider (NPI-1).

NPI number1982928404
StatusActive
Last updated in NPPESApr 8, 2010

Details

NPI
1982928404
Entity type
Individual (NPI-1)
Name
Jerry Chan
Credential
FNP-BC
Sex
Male
Sole proprietor
No
Enumeration date
Mar 26, 2010
Last updated
Apr 8, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner209008110ILYes

Practice location

1425 N Randall Rd
Elgin, IL 60123-2300

Phone 847-742-9800

Mailing address

2100 Powell St
Suite 900
Emeryville, CA 94608-1826

Phone 510-350-2600 · Fax 510-879-9100

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