Search › Illinois › 170300000X
Vivian Pan, C.G.C
NPI 1750721049 · on the registry since 2013
Practice
- Address
- 818 S Wolcott Ave
Chicago, IL 60612 - Phone
- (312) 413-4478
- Fax
- (312) 996-5760
- Clinicians at this address
- 3
Additional practice sites
- 1220 S Wood St, Chicago, IL
Registry record
- Primary taxonomy
- 170300000X
170300000X
- Also registered as
- 170300000X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois