Organization
TERRACE OBSTETRICIANS & GYNECOLOGISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS T CHEN MD (PRESIDENT)
(630) 627-0147
Entity
Organization
Contact information
Practice address
1S132 SUMMIT AVE, SUITE 305, OAKBROOK TERRACE, IL 60181-3955
(630) 627-4954
(630) 627-0441
Mailing address
1S132 SUMMIT AVE, SUITE 305, OAKBROOK TERRACE, IL 60181-3955
(630) 627-4954
(630) 627-0441
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036060483
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615022
BCBS ID NUMBER
IL
Enumeration date
03/16/2007
Last updated
10/20/2010
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