Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Betty Fan, DO

Individual provider Surgery Physician · NPI 1669714895

Betty Fan, DO is a General Surgery in Chicago, Illinois. Qualified in 2013, 13 years ago. Practices with University of Chicago, a 1,681-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana and Ohio.

Years since qualifying
13
Licensed in
IL, IN, OH
In the registry since
2013
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (773) 702-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036.164960 (IL)
Surgery Physician Taxonomy 208600000X · Licence 01083940A (IN)
Surgery Physician Taxonomy 208600000X · Licence 34.013190 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669714895
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2013
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing address150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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