Healthcare Provider Details

I. General information

NPI: 1235187253
Provider Name (Legal Business Name): LINDA S CHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N WINFIELD RD STE 204
WINFIELD IL
60190-1379
US

IV. Provider business mailing address

25 N WINFIELD RD STE 204
WINFIELD IL
60190-1379
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-0202
  • Fax: 630-690-2293
Mailing address:
  • Phone: 630-232-0202
  • Fax: 630-690-2293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036098848
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number036098848
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036098848
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: