Individual
DR. ALICE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4711 GOLF RD, SUITE 808, SKOKIE, IL 60076-1224
(847) 568-1870
(847) 568-1875
Mailing address
PO BOX 1406, PARK RIDGE, IL 60068-7406
(847) 568-1870
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
0036-086420
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086420
—
IL
01
—
14D0937849
CLIA ID
IL
01
—
1621458
BLUE CROSS/BLUE SHEILD
IL
Enumeration date
06/30/2005
Last updated
10/08/2019
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