Individual
ELAINE M. FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST 4TH FL, SOUTH BEND, IN 46601-1033
(574) 647-6892
(574) 647-6895
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
01099049A
IN
2080P0207X
Pediatric Hematology & Oncology Physician
11731052-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300128923
—
IN
Enumeration date
04/01/2017
Last updated
04/22/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us