IndividualActive
Clarence Chan
NPI 1285173906 · Clinical Pathology/Laboratory Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1285173906
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 125.076688 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5841 S Maryland Ave # Mc3083
Chicago, IL 60637-1443
Phone: (773) 834-7708
Fax: (773) 834-7644
Approximate (ZIP-level) locationGet directions
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Registry dates
- Enumerated
- 2017-02-14
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.