Provider Demographics
NPI:1891802096
Name:CHOW, ALAN Y (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:Y
Last Name:CHOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:191 PALAMINO PL
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-1024
Mailing Address - Country:US
Mailing Address - Phone:630-690-7363
Mailing Address - Fax:630-690-7584
Practice Address - Street 1:386 PENNSYLVANIA AVE STE 3N
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-4323
Practice Address - Country:US
Practice Address - Phone:630-858-4411
Practice Address - Fax:630-858-4793
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL022-01769-06OtherBLUE CROSS - BLUE SHIELD
IL022-01769-06OtherBLUE CROSS - BLUE SHIELD
ILC40110Medicare UPIN