Individual
MICHAEL WING-MING CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 W 95TH ST STE 1320M, OAK LAWN, IL 60453-2654
(708) 684-4077
Mailing address
3505 N BELL AVE, CHICAGO, IL 60618-6019
(831) 214-7987
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
036134751
IL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
A119560
CA
Other
Enumeration date
05/05/2010
Last updated
04/20/2022
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