Provider Demographics
NPI:1922251842
Name:TRAN, CHRIS A (OD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:A
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:840 SUMMIT ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-4300
Mailing Address - Country:US
Mailing Address - Phone:847-488-1588
Mailing Address - Fax:847-628-2320
Practice Address - Street 1:840 SUMMIT ST
Practice Address - Street 2:SUITE G
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-4300
Practice Address - Country:US
Practice Address - Phone:847-488-1588
Practice Address - Fax:847-628-2320
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL046-008801152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist