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Individual

YUAN CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1350 CEDAR CT, CARBONDALE, IL 62901-5336
(618) 529-2955
Mailing address
1350 CEDAR CT, CARBONDALE, IL 62901-5336
(618) 529-2955

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036-116142
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036116142
IL
Enumeration date
06/29/2006
Last updated
12/29/2021
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