Individual
DR. TAO CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3703 DOTY RD, SUITE 1, WOODSTOCK, IL 60098-7517
(815) 338-6600
(815) 206-2823
Mailing address
13707 W JACKSON ST, WOODSTOCK, IL 60098-3188
(815) 337-1871
(815) 338-6297
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036049286
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160030419
MEDICARE RAILROAD
IL
Enumeration date
05/04/2006
Last updated
04/08/2009
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