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NPI Code Detail

MEDICARE: DR. HONG CHAN AN M.D.

MEDICARE: DR. HONG CHAN AN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician036059646IL

General Provider Information

NPI Number : 1083616650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HONG CHAN AN M.D.
Provider Business Mailing Address
First Line : 2S565 AVENUE CHATEAUX E.
Second Line :
City : OAK BROOK
State : IL
Zip : 60523
Country : US
Telephone Number : 630-338-5031
Fax Number : 630-874-2642
Provider Business Practice Location Address
First Line : 2233 W DIVISION ST
Second Line : ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
City : CHICAGO
State : IL
Zip : 60622-3043
Country : US
Telephone Number : 312-770-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 01/15/2026

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