# MARK CHIEN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790890598
- **Authorized official:** DR. MARK C CHIEN MD (PRESIDENT)
- **Authorized official phone:** (312) 503-6000

## Contact information

- **Practice address:** 680 N LAKE SHORE DR, SUITE 118, CHICAGO, IL 60611-4546
- **Practice address phone:** (312) 503-6000
- **Practice address fax:** (312) 503-6329
- **Mailing address:** 680 N LAKE SHORE DR, SUITE 118, CHICAGO, IL 60611-4546
- **Mailing address phone:** (312) 503-6000
- **Mailing address fax:** (312) 503-6329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 11/14/2007