Individual
CHUNG KUANG CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3624 W DIVISION ST, CHICAGO, IL 60651-2216
(630) 747-6353
(773) 486-1057
Mailing address
242 TIMBER TRAIL DR, OAK BROOK, IL 60523-1456
(630) 747-6353
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036051139
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002201201
BCBS
IL
05
—
036051139
—
IL
Enumeration date
08/10/2006
Last updated
06/15/2008
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