Pei Hsuan Chan, DO | |
1 Erie Ct Ste 6160, Oak Park, IL 60302-2510 | |
(708) 383-0113 | |
Not Available |
Full Name | Pei Hsuan Chan |
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Gender | |
Speciality | Family Medicine |
Location | 1 Erie Ct Ste 6160, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508423054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 5101025890 (Michigan) | Secondary |
207Q00000X | Family Medicine | 125.081994 (Illinois) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
Mailing Address | Practice Location Address |
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Pei Hsuan Chan, DO 1140 Dunlop Ave Unit Gn, Forest Park, IL 60130-2281 Ph: (626) 872-7140 | Pei Hsuan Chan, DO 1 Erie Ct Ste 6160, Oak Park, IL 60302-2510 Ph: (708) 383-0113 |
Allison Byrne, Family Medicine Medicare: Medicare Enrolled Practice Location: 1010 Lake St Ste 301, Oak Park, IL 60301 Phone: 708-524-8600 | |
Dr. Patrick Carbon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 S Maple Ave, Suite 2100, Oak Park, IL 60304 Phone: 708-660-2240 Fax: 708-660-2243 | |
Dr. Ingrid Y Liu, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 917 S Oak Park Ave Ste B, Oak Park, IL 60304 Phone: 708-386-3080 Fax: 708-386-3084 | |
Dr. Kathryn Vanbuskirk, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Lake St Ste 301, Oak Park, IL 60301 Phone: 708-524-8600 | |
Dr. Judith Opena Disterhoft, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Erie Ct, Oak Park, IL 60302 Phone: 708-383-6200 | |
Connie D Chappel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 N Harlem Ave, Suite 309, Oak Park, IL 60302 Phone: 708-386-4411 | |
Kenneth Morris Blair, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Erie Ct, Suite 6160, Oak Park, IL 60302 Phone: 708-763-1490 Fax: 708-763-7232 |