Christopher Chan (NPI# 1225290802, PAC ID# 1153587969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1225290802 |
| PAC ID by PECOS | 1153587969 |
| Professional Enrollment ID | I20120724000188 |
| Full Name | Christopher Chan |
| Organization Legal Name | PACIFIC VEIN CARE, LLC |
| Address |
3929 Mercy Dr Mchenry IL 60050-3151 |
| Phone Number | 8157592368 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2961558101 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140116 | CENTEGRA HOSPITAL-MCHENRY |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10400 Haligus Rd, Huntley, IL 60142-9553 | 2246540000 | MCHENRY RADIOLOGISTS AND IMAGING ASSOCIATES SC |
| 3929 Mercy Dr, Mchenry, IL 60050-3151 | 8157592368 | PACIFIC VEIN CARE, LLC |
| 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 | 8157590800 | MCHENRY RADIOLOGISTS AND IMAGING ASSOCIATES SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% |
| Organization Legal Name | PACIFIC VEIN CARE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ernest A Conti | Diagnostic Radiology | Pacific Vein Care, LLC | 3929 Mercy Dr, Mchenry, IL 60050-3151 |
| Susan A Kanehann | Emergency Medicine | Pacific Vein Care, LLC | 3929 Mercy Dr, Mchenry, IL 60050-3151 |
| Shahid R Ali | Diagnostic Radiology | Pacific Vein Care, LLC | 3929 Mercy Dr, Mchenry, IL 60050-3151 |
| Street Address |
3929 MERCY DR |
| City | MCHENRY |
| State | IL |
| Zip | 60050-3151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ernest A Conti | Diagnostic Radiology | Pacific Vein Care, LLC | 3929 Mercy Dr, Mchenry, IL 60050-3151 |
| Susan A Kanehann | Emergency Medicine | Pacific Vein Care, LLC | 3929 Mercy Dr, Mchenry, IL 60050-3151 |
| Shahid R Ali | Diagnostic Radiology | Pacific Vein Care, LLC | 3929 Mercy Dr, Mchenry, IL 60050-3151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Mary Dosemagen | Certified Registered Nurse Anesthetist | Anesthesia Associates of Crystal Valley, S. C. | 4309 W Medical Ctr Dr, A201, Mchenry, IL 60050-0841 |
| David K Hansen | Certified Registered Nurse Anesthetist | Anesthesia Associates of Crystal Valley, S. C. | 4309 W Medical Ctr Dr, Mchenry, IL 60050-0841 |
| Deborah Ann Mitchell | Physical Therapy | 5435 Bull Valley Rd, Suite 110, Mchenry, IL 60050-2209 | |
| Alan H Numbers | Podiatry | 5435 Bull Valley Rd, Suite 102, Mchenry, IL 60050-2209 | |
| Allyson Lyn Stellmach | Physical Therapy | Deborah A Mitchell Physical Therapy LLC | 5435 Bull Valley Rd, Mchenry, IL 60050-2209 |
| Syed Hassan | Family Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Norman J. Mecwan | Physical Therapy | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Stephen L Merrill | Emergency Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Jakob C Thorud | Podiatry | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Mary T Riggs | Obstetrics/gynecology | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Find all physicians in zip 60050 | |||
| City | MCHENRY |
| Zip Code | 60050 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | MCHENRY + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Christopher Chan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.