Individual ProviderEunice ChanFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1010 Lake St, Suite 500, Oak Park, IL 60301-1147(708) 524-8600PECOS EnrollmentBased on the most recent information from CMS, provider Eunice 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 2 days ago.Profile DetailsProvider ID1770847766Provider TypeIndividualFull NameChan, EuniceTitleDr.CredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date6/25/2012Last Updated2/18/2016Contact InformationPractice LocationPractice Address1010 Lake St, Suite 500, Oak Park, IL 60301-1147Phone(708) 524-8600Fax(708) 524-8147Mailing LocationMailing Address1010 Lake St, Suite 500, Oak Park, IL 60301-1147Phone(708) 524-8600Fax(708) 524-8147Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036-137660IllinoisProvider IdentifiersIDDescriptionIssuerID036137660DescriptionMedicaidIssuerUnlistedIllinois