CLARENCE WING-CHUNG CHAN
NPI 1285173906
Pathology - Clinical Pathology/Laboratory Medicine in Chicago, IL

Q: What is Clarence Chan's NPI number?

The NPI number for Clarence Chan is 1285173906. It was assigned to this individual provider in the NPPES registry on February 14, 2017.

Q: What is Clarence Chan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Q: When was this NPI record last updated?

The NPPES record for Clarence Chan was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2017PECOS EnrolledAccepts Medicare Assignment

5841 S MARYLAND AVE # MC3083, CHICAGO, IL 60637(773) 834-7708(773) 834-7644 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Jun 28, 2020, Jun 12, 2020 and 2 more (5 updates tracked since 2017).

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About Clarence Wing-chung Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARENCE WING-CHUNG CHAN (NPI 1285173906) is an individual clinical pathology/laboratory medicine provider in Chicago, Illinois, licensed in Illinois (036164346) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Northwestern University Feinberg Medical School (2020).

NPPES Registry Identity

NPI1285173906

Entity TypeIndividualMale

Primary Taxonomy207ZP0105X

Provider Legal NameCLARENCE WING-CHUNG CHAN

Location Address5841 S MARYLAND AVE # MC3083Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 834-7708

Fax(773) 834-7644

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2020

Enumeration DateFebruary 14, 2017

Last NPPES UpdateJuly 6, 20235 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1285173906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

License✔ Licensed in IL · 036164346

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X · License 125.076688 (IL)

5841 S MARYLAND AVE # MC3083, Chicago, IL 60637

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clarence Wing-chung Chan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638592256

PECOS Enrollment IDI20240722003831

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

172 services151 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

122 services105 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140088

Location5841 South MarylandChicago, IL 60637 · Cook County

Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140213

Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MANISHA GOEL MD

Pathology (Anatomic Pathology & Clinical Pathology)