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Contact Information

DENNIS CHAN, MD
2160 S 1ST AVE
MAYWOOD, IL60153
 Phone: 888-584-7888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DENNIS CHAN · (Male)

NPI Number 1679005243
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2017
Last updated 10/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.071442
  • MI License # 4301115711
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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