Individual
JOSEPH CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
53 W JACKSON BLVD STE 824, CHICAGO, IL 60604-3487
(312) 835-7988
Mailing address
PO BOX 2193, NORTHBROOK, IL 60065-2193
(312) 835-7988
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007676
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071-007676
071007676
IL
Enumeration date
05/25/2009
Last updated
02/17/2020
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