Chan, Clarence Wing-Chung

Chan, Clarence Wing-Chung is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc3083 , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Chan, Clarence Wing-Chung can be contacted via phone (773) 834-7708.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc3083 Chicago IL 60637-1443
Phone: (773) 834-7708
Fax: (773) 834-7644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 125.076688 Illinois
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 036164346 Illinois

Profile Details

NPI number 1285173906
LBN Legal business name Chan, Clarence Wing-Chung
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2017
Last updated Jul 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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