DAVID MEIN WAI CHAN (NPI# 1538480181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538480181 |
Entity Type | Individual |
Full Name | DAVID MEIN WAI CHAN |
Credential | M.D. |
Practice Address |
19550 Governors Hwy Ste 2350 Flossmoor IL 60422-2125 |
Mailing Address |
27702 Network Pl Chicago IL 60673-1277 |
Practice Telephone | 7087980200 |
Practice Fax Number | 7087980205 |
Mailing Telephone | 7088627674 |
Mailing Fax Number | 7088621781 |
Enumeration Date | 2010-06-17 |
Last Update Date | 2018-12-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 036145556 | IL | Allopathic & Osteopathic Physicians |
N | 207Y00000X | Otolaryngology | 01077521A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE | F400489650 | 01 |
IL | RRM | P02071427 | 01 |
IL | 036145556 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497289961 | David Chan | Podiatrist | 224d Cornwall St Nw # 203100, Leesburg, VA 20176-2713 | 2017-04-11 |
1649696717 | David W Chan | Dentist | 1095 Branham Ln., Suite #101, San Jose, CA 95136 | 2014-03-12 |
1982944005 | David Manfook Chan | Internal Medicine | 11815 Knightsbridge Pl, Loma Linda, CA 92354-4167 | 2013-02-26 |
1497068688 | David Deguire Chan | Internal Medicine | 10840 Warner Ave Ste 103, Fountain Valley, CA 92708-3847 | 2010-07-16 |
1720304405 | David Y Chan | Occupational Therapist | 81 Waterman, Irvine, CA 92602-1654 | 2010-04-20 |
1629279948 | David S Chan | Internal Medicine | 3616 S Normal Ave, Chicago, IL 60609-1722 | 2007-05-31 |
1417176009 | David K Chan | Dentist | 19120 Se 34th St, Suite104, Vancouver, WA 98683-1429 | 2007-04-24 |
1073651501 | David F Chan | Pharmacist | 1 Audubon Avenue, City Drug & Surgical, New York, NY 10032 | 2007-02-05 |
1477626968 | David Gavin Chan | Pharmacist | 11050 N 111th Way, Scottsdale, AZ 85259-6980 | 2006-11-15 |
1801971981 | David Chan | Optometrist | 4240 Rocklin Rd, Suite #3, Rocklin, CA 95677-2862 | 2006-10-26 |
Street Address |
19550 GOVERNORS HWY STE 2350 |
City | FLOSSMOOR |
State | IL |
Zip Code | 60422-2125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760999783 | Bernadette Gruchalski | Nurse Practitioner | 19550 Governors Hwy Ste 2350, Flossmoor, IL 60422-2125 | 2017-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
Find all providers in zip 60422 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275631574 | Thomas Tzi-chorng Chung | Otolaryngology | 3235 Vollmer Road, Ste 139, Flossmoor, IL 60422 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.