Provider Demographics
NPI:1386822435
Name:PAN, CHRISTINE TING-FU (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:TING-FU
Last Name:PAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N WABASH AVE
Mailing Address - Street 2:STE 1414
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3070
Mailing Address - Country:US
Mailing Address - Phone:773-840-2556
Mailing Address - Fax:
Practice Address - Street 1:111 N WABASH AVE
Practice Address - Street 2:STE 1414
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3070
Practice Address - Country:US
Practice Address - Phone:312-634-0740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor