Wallace Chan (NPI# 1053360735, PAC ID# 2062456460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1053360735 |
| PAC ID by PECOS | 2062456460 |
| Professional Enrollment ID | I20050616000568 |
| Full Name | Wallace Chan |
| Address |
2126 A S Archer Ave Chicago IL 60616-1514 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1990 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2126 A S Archer Ave, Chicago, IL 60616-1514 |
| Street Address |
2126 A S ARCHER AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60616-1514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shital S Palan | Physical Therapy | Athletico Ltd | 3467 S Dr Martin Luther King Jr Dr, Chicago, IL 60616 |
| Lorraine A Miller | Physical Therapy | Athletico Ltd | 3467 S Dr Martin Luther King Jr Dr, Chicago, IL 60616 |
| Rebecca A Schuck | Physical Therapy | Athletico Ltd | 3467 S Dr Martin Luther King Jr Dr, Chicago, IL 60616 |
| Sami Atassi | Hematology/oncology | 2600 S Michigan Ave, Suite 308, Chicago, IL 60616-0049 | |
| Roshini James | Nurse Practitioner | Integrated Rehab Consultants LLC | 1725 S Wabash Ave, Chicago, IL 60616-1219 |
| Neil E Soifer | Nephrology | Lakeside Nephrology Ltd | 1717 S Wabash Ave, Chicago, IL 60616-1219 |
| Catherine Chung | Nurse Practitioner | Thorek Memorial Hospital | 2142 S Archer Ave, Chicago, IL 60616-1514 |
| Gregory Y Ing | Chiropractic | 2134 S Archer Ave B, Chicago, IL 60616-1514 | |
| Larry Hanping Liu | General Practice | 2165 S China Place B, Chicago, IL 60616-1536 | |
| Kelli Barton Schneider | Physical Therapy | Athletico Ltd | 1915 S Archer Ave, Chicago, IL 60616-1618 |
| Find all physicians in zip 60616 | |||
| City | CHICAGO |
| Zip Code | 60616 |
| Specialty | OPTOMETRY |
| City + Specialty | CHICAGO + OPTOMETRY |
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| 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.