Individual
WEN Y CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-079700
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079700
—
IL
01
—
1224820001
MEDICARE DME PTAN
IL
01
—
1932378668
DME NPI
IL
Enumeration date
07/19/2006
Last updated
11/29/2012
Update your record
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