MEDICARE: LINDA S CHAN 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
1	207R00000X	Internal Medicine Physician	036098848	IL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036098848	IL
3	207RP1001X	Pulmonary Disease Physician	036098848	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	02215074	OTHER	IL	BLUE SHIELD PROVIDER NUMB

General Provider Information

NPI Number	:	1235187253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA S CHAN M.D.

Provider Business Mailing Address
First Line	:	25 N WINFIELD RD STE 204
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-1379
Country	:	US
Telephone Number	:	630-232-0202
Fax Number	:	630-690-2293

Provider Business Practice Location Address
First Line	:	25 N WINFIELD RD STE 204
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-1379
Country	:	US
Telephone Number	:	630-232-0202
Fax Number	:	630-690-2293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	12/18/2025

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Directions to “ LINDA S CHAN M.D.” Practice Location

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