Individual
DAVID CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
(312) 238-3695
Mailing address
355 E ERIE ST, CHICAGO, IL 60611
(312) 238-1000
(312) 238-3695
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036-078095
IL
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
036-078095
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078095
—
IL
01
—
250011889
RAILROAD MEDICARE
IL
01
—
250011890
RAILROAD MEDICARE
IL
Enumeration date
07/28/2006
Last updated
04/22/2022
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