Individual provider Active NPI

Nicholas Karjun Chan, M.D.

  • Ophthalmology Physician
  • Oak Lawn, IL
National Provider Identifier
1396132403
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036152835 Issued in IL
Practice address
6201 W 95TH St
Oak Lawn, IL 60453-3888
Phone
(708) 636-9393
Fax
(708) 636-2022
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036152835 IL Primary

Addresses

Primary practice location

6201 W 95TH St
Oak Lawn, IL 60453-3888

Mailing address

6201 W 95TH St
Oak Lawn, IL 60453-3888
Phone (086) 369-3937

Other practice location 1

100 Woodruff Cir NE
Suite 327
Atlanta, GA 30322-1020
Phone (404) 727-5658

Other practice location 2

259 E Erie St Ste 1520
Chicago, IL 60611-3111
Phone (312) 695-8150

Other practice location 3

14494 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (708) 226-9393

Other practice location 4

4459 N Kedzie Ave
Chicago, IL 60625-4785
Phone (773) 866-2020

Other practice location 5

68 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone (847) 541-3334

Other practice location 6

17W682 Butterfield Rd
Oakbrook Terrace, IL 60181-4029
Phone (708) 636-9393

Other practice location 7

1760 W Wise Rd
Schaumburg, IL 60193-3524
Phone (708) 636-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730003612 IL Practitioner - Ophthalmology 6709201213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Physicians LTDGroup PAC ID 5799743670, 17 clinicians

Practice addresses (Care Compare)

6201 W 95TH St
Oak Lawn, IL 60453-2701
Phone (708) 636-9393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036152835ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Physicians, LTD Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
20/20 Eye Physicians of Indiana P C Ophthalmology PastSince Jul 1, 2021 Accepting new patients
Chicagoland Surgery Centers LLC Ophthalmology PastSince Jul 20, 2026 Accepting new patients

Locations

68 W Dundee Rd
Buffalo Grove, IL 60089
Phone (708) 636-9393

6201 W 95th St
Oak Lawn, IL 60453
Phone (708) 636-5615

17W682 Butterfield Rd
Ste 300
Oakbrook Terrace, IL 60181
Phone (630) 909-6500

17W682 Butterfield Rd
Ste 101
Oakbrook Terrace, IL 60181
Phone (708) 636-9393

17W682 Butterfield Rd
Oakbrook Terrace, IL 60181
Phone (630) 268-1394

14494 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 226-9393

1760 W Wise Rd
Schaumburg, IL 60193
Phone (708) 636-9393

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1396132403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533888",
            "telephone_number": "086-369-3937",
            "fax_number": "708-636-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533888",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woodruff Cir NE",
            "address_2": "Suite 327",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221020",
            "country_code": "US",
            "telephone_number": "404-727-5658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "259 E Erie St Ste 1520",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113111",
            "country_code": "US",
            "telephone_number": "312-695-8150",
            "fax_number": "312-695-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14494 John Humphrey Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622638",
            "country_code": "US",
            "telephone_number": "708-226-9393",
            "fax_number": "708-403-5751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4459 N Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606254785",
            "country_code": "US",
            "telephone_number": "773-866-2020",
            "fax_number": "773-866-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 W Dundee Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600893758",
            "country_code": "US",
            "telephone_number": "847-541-3334",
            "fax_number": "847-541-8442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17W682 Butterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814029",
            "country_code": "US",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 W Wise Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601933524",
            "country_code": "US",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "NICHOLAS",
        "middle_name": "KARJUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036152835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.