Chan, Samson

Chan, Samson is an individual health care provider with primary practice located at 553 W 31St St Ste 1 , Chicago IL 60616-4992. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chan, Samson can be contacted via phone (773) 966-9978.

Contact Information

Primary practice address
553 W 31St St Ste 1 Chicago IL 60616-4992
Phone: (773) 966-9978
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301093219 Michigan

Profile Details

NPI number 1801168224
LBN Legal business name Chan, Samson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2012
Last updated Jan 19th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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