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Individual

CLARENCE WING-CHUNG CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5841 S MARYLAND AVE # MC3083, CHICAGO, IL 60637-1443
(773) 834-7708
(773) 834-7644
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
125.076688
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036164346
IL

Other

Enumeration date
02/14/2017
Last updated
07/06/2023
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