Individual
DR. BONNY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4938 LAVERNA RD, SPRINGFIELD, IL 62707-9797
(630) 481-6502
Mailing address
4938 LAVERNA RD, SPRINGFIELD, IL 62707-9797
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036098760
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098760
—
IL
Enumeration date
03/24/2006
Last updated
06/01/2024
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