Jerry Chan, FNP-BC

Nurse Practitioner · Elgin, IL

Individual Active NPI

NPI number 1982928404

Practice location

1425 N Randall Rd
Elgin, IL 60123-2300
Phone
(847) 742-9800

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NPI record

NPI
1982928404
Entity type
Individual (Type 1)
Enumeration date
March 26, 2010
Last updated
April 8, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209008110 IL

Mailing address

2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone
(510) 350-2600
Fax
(510) 879-9100

About Jerry Chan

Jerry Chan, FNP-BC is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1425 N Randall Rd, Elgin, IL 60123-2300. The NPI number 1982928404 was assigned on March 26, 2010 and the record was last updated on April 8, 2010.

Jerry Chan lists a license in the registry: #209008110 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Chan, FNP-BC?

The NPI number is 1982928404.

What is the phone number of Jerry Chan?

The phone number listed for the practice location is (847) 742-9800.

Where is Jerry Chan located?

1425 N Randall Rd, Elgin, IL 60123-2300.

What is the taxonomy code for Jerry Chan?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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