Individual
DR. JACQUELINE BARBARA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
425 HUELH RD, UNIT 13, NORTHBROOK, IL 60062-2319
(847) 504-5000
(847) 504-5015
Mailing address
217 SUMMIT AVE, WAYNESVILLE, MO 65583-2469
(573) 855-9850
(847) 504-5015
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
271
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01582259
RAILROAD MEDICARE
MO
Enumeration date
11/18/2005
Last updated
02/25/2016
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