CLARENCE WING-CHUNG CHAN

CHICAGO, IL
NPI1285173906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: IL  036164346)
Additional Taxonomies207ZC0006X Pathology, Clinical Pathology
(Licence: IL  125.076688)
Enumeration Date2017-02-14
Last Update Date2023-07-06
Business Address
CLARENCE WING-CHUNG CHAN
5841 S MARYLAND AVE # MC3083
CHICAGO, IL 60637-1443
Phone number: 773-834-7708
Mailing Address
CLARENCE WING-CHUNG CHAN
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150