Search › Illinois › 207ZP0105X
Clarence Chan
NPI 1285173906 · on the registry since 2017
Practice
- Address
- 5841 S Maryland Ave # Mc3083
Chicago, IL 60637 - Phone
- (773) 834-7708
- Fax
- (773) 834-7644
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 207ZP0105X
207ZP0105X
- Also registered as
- 207ZC0006X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-06
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