Individual
QIUCHEN SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(872) 274-4344
(866) 671-9991
Mailing address
1121 CHURCH ST APT 309, EVANSTON, IL 60201-3634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.022040
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178022040
LICENSE
IL
Enumeration date
09/17/2025
Last updated
12/11/2025
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