Individual
MARK CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 437, CHICAGO, IL 60612-3893
(312) 942-5509
Mailing address
1725 W HARRISON ST STE 437, CHICAGO, IL 60612-3893
(312) 942-5509
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125.081199
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2022
Last updated
05/21/2023
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