Individual
DR. MICHAEL CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, 1118, CHICAGO, IL 60612-3841
(312) 942-5936
(312) 942-2380
Mailing address
1725 W HARRISON ST, STE 1106, CHICAGO, IL 60612-3841
(312) 942-4500
(312) 942-2380
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036118444
IL
2085R0202X
Diagnostic Radiology Physician
036-118444
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-118444
IL LICENSE
IL
Enumeration date
05/30/2007
Last updated
04/22/2021
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