Individual
MR. DANIEL CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5201 WILLOW SPRINGS RD STE 180, LA GRANGE HIGHLANDS, IL 60525-6506
(708) 929-6099
(708) 929-6169
Mailing address
5201 WILLOW SPRINGS RD STE 180, LA GRANGE HIGHLANDS, IL 60525-6506
(708) 929-6099
(708) 929-6169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036096539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200401
MEDICARE PTAN
—
Enumeration date
07/28/2006
Last updated
03/27/2026
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