Individual ProviderJoseph ChanFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address9550 W 167th St Ste 200, Orland Park, IL 60467-5561(708) 873-4500(847) 390-5900PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Chan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1558396978Provider TypeIndividualFull NameChan, JosephCredentialD.O.GenderMaleSole ProprietorNoEnumeration Date7/12/2006Last Updated6/13/2022Contact InformationPractice LocationPractice Address9550 W 167th St Ste 200, Orland Park, IL 60467-5561Phone(708) 873-4500FaxUnlisted FaxMailing LocationMailing Address29373 Network Pl, Chicago, IL 60673-1293Phone(847) 390-5900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036-074089Illinois